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D32.9
ICD-10-CM
Meningioma

Find comprehensive information on meningioma diagnosis, including clinical documentation, medical coding (ICD-10 codes C70.0-C70.9), healthcare guidelines, and treatment options. Learn about meningioma symptoms, radiological findings, WHO grading, and differential diagnoses for accurate medical record keeping and appropriate billing. Explore resources for healthcare professionals on managing and documenting meningiomas within electronic health records (EHR) and optimizing clinical workflows.

Also known as

Benign brain tumor
Dural tumor

Diagnosis Snapshot

Key Facts
  • Definition : Slow-growing tumor arising from the meninges, membranes surrounding the brain and spinal cord.
  • Clinical Signs : Headaches, seizures, vision changes, weakness, numbness, and balance problems.
  • Common Settings : Neurosurgery clinics, neuro-oncology departments, and hospitals with advanced imaging capabilities.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC D32.9 Coding
D32.0-D32.9

Benign neoplasm of meninges

Meningiomas, typically benign brain or spinal cord tumors.

D43.0-D43.9

Neoplasm of uncertain behavior of meninges

Meninges tumors with uncertain potential for malignancy.

D33.0-D33.9

Malignant neoplasm of meninges

Cancerous tumors originating in the meninges.

C70.0-C72.9

Malignant neoplasms of brain

May include aggressive meningiomas invading brain tissue.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the meningioma malignant?

  • Yes

    Is it anaplastic?

  • No

    Is there brain invasion?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Meningioma: Tumor of meninges
Schwannoma: Nerve sheath tumor
Glioma: Brain tumor from glial cells

Documentation Best Practices

Documentation Checklist
  • Meningioma ICD-10 code (e.g., C70.0)
  • Tumor size, location, and type
  • WHO grade (I, II, or III)
  • Symptoms and neurological exam findings
  • Treatment plan (surgery, radiation, observation)

Coding and Audit Risks

Common Risks
  • Code Specificity

    Using non-specific ICD-10 codes (e.g., C71, D32) instead of specific histology and location codes for meningioma (e.g., C70.0-C70.9).

  • Histology Documentation

    Missing or unclear documentation of histology (e.g., benign, atypical, anaplastic) impacting correct coding and reimbursement.

  • Laterality Coding

    Inconsistent or missing documentation of laterality (right, left, bilateral) for meningioma, leading to coding errors and claim denials.

Mitigation Tips

Best Practices
  • Code accurately using ICD-10-CM codes C70.0-C70.9 for meningioma.
  • Document tumor size, location, and histology for optimal reimbursement.
  • Ensure clinical indicators justify surgical intervention or radiosurgery.
  • Monitor patient progress with regular neurological assessments and imaging.
  • Comply with HIPAA and document informed consent for all procedures.

Clinical Decision Support

Checklist
  • Verify brain imaging (MRI or CT) confirms meningioma presence.
  • Check for common symptoms: headaches, seizures, vision changes.
  • Review patient history for risk factors: radiation exposure, neurofibromatosis.
  • Assess neurological exam findings: focal deficits, cranial nerve palsies.

Reimbursement and Quality Metrics

Impact Summary
  • Meningioma reimbursement hinges on accurate ICD-10 coding (C70.x) impacting hospital case mix index.
  • Precise CPT coding for craniotomy/surgery (e.g., 61510-61519) maximizes meningioma surgical reimbursement.
  • Quality metrics for meningioma: Surgical complication rates, readmissions, and patient-reported outcomes.
  • Coding errors, clinical documentation gaps affect meningioma claims denials and decrease hospital revenue.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code location (C70.0-C70.9)
  • Document histology
  • Specify if benign/malignant
  • Note WHO grade (I, II, III)
  • Check for resection status

Documentation Templates

Patient presents with symptoms suggestive of meningioma, including headaches, seizures, and focal neurological deficits.  Differential diagnosis includes other intracranial masses such as glioma, schwannoma, and brain metastasis.  MRI brain with and without contrast revealed a well-circumscribed extra-axial dural-based mass consistent with meningioma.  The location of the meningioma is documented, specifying whether it is convexity, parasagittal, sphenoid wing, olfactory groove, or other location.  Tumor size is measured in centimeters on imaging.  The WHO grade is pending histopathological analysis following surgical resection.  The patient's Karnofsky Performance Status (KPS) is documented.  Treatment options discussed include observation, surgical resection, radiosurgery such as Gamma Knife or CyberKnife, and radiation therapy.  Risks and benefits of each treatment modality were explained to the patient.  Decision regarding management will be made after further discussion with the patient and family, and upon review of pathology results if surgery is performed.  ICD-10 code C70.9, D32.1, and relevant CPT codes for procedures performed will be used for billing and coding.  Follow-up imaging and clinical evaluation are scheduled to monitor tumor progression or recurrence.


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