Find comprehensive information on parotid gland mass diagnosis, including clinical findings, differential diagnosis, ICD-10 codes (D11.0, D48.8), SNOMED CT concepts, and healthcare documentation best practices. Learn about imaging studies, biopsy procedures, and treatment options for parotid tumors, including pleomorphic adenoma and Warthin tumor. This resource offers valuable insights for physicians, healthcare professionals, and medical coders seeking accurate and up-to-date information on parotid gland masses.
Also known as
Benign neoplasm of parotid gland
Non-cancerous growths in the salivary gland near the ear.
Malignant neoplasm of parotid gland
Cancerous growths affecting the main salivary gland.
Neoplasm of uncertain behavior of parotid
Abnormal growths in the parotid gland, uncertain if cancerous.
Localized swelling, mass, or lump NEC
Describes swelling or a lump, not otherwise specified, which could include a parotid mass.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the mass neoplastic?
Yes
Is it malignant?
No
Is it inflammatory?
When to use each related code
Description |
---|
Parotid mass |
Pleomorphic adenoma |
Warthin tumor |
Coding lacks laterality (right, left, bilateral) impacting reimbursement and quality metrics. Clarify with provider for accurate coding (ICD-10-CM).
Documentation lacks confirmation (biopsy, imaging) for definitive diagnosis. CDI should query for clarity to avoid inaccurate coding and potential denials.
If mass is neoplastic, missing histology code impacts cancer registry data and treatment planning. CDI should query provider for specific details.
Patient presents with a palpable mass in the parotid gland. Chief complaint includes parotid swelling, parotid lump, or facial mass. Location of the mass is noted as being in the superficial or deep lobe of the parotid gland, with size and consistency documented. Associated symptoms may include pain, facial weakness, facial numbness, dysphagia, or trismus. Differential diagnosis includes pleomorphic adenoma, Warthin tumor, parotid malignancy, benign lymphoepithelial lesion, and sialolithiasis. Physical examination reveals a (description of mass: firm, mobile, fixed, tender, non-tender, etc.) mass in the (right or left) parotid region. Cranial nerve VII function is assessed and documented. Imaging studies, such as ultrasound, CT scan, or MRI of the parotid gland, may be ordered to further evaluate the mass. Fine needle aspiration biopsy (FNAB) or core needle biopsy may be performed for pathological diagnosis. Treatment options, including surgical resection (parotidectomy superficial, total, or radical), observation, or further investigation, will be discussed with the patient based on the biopsy results and clinical findings. Patient education regarding parotid gland anatomy, parotid surgery risks and benefits, and potential complications such as Frey syndrome, facial nerve paralysis, and salivary fistula, will be provided. Follow-up appointment is scheduled for (timeframe) to review biopsy results and discuss the treatment plan. ICD-10 code D11.0 (Benign neoplasm of parotid gland) or appropriate malignancy code will be assigned pending diagnostic confirmation. CPT codes for procedures performed, such as FNAB or imaging studies, will be documented accordingly.