Find comprehensive information on parotid mass diagnosis, including clinical documentation, medical coding (ICD-10, SNOMED CT), differential diagnosis, and treatment options. Learn about parotid gland tumors, salivary gland swelling, fine needle aspiration biopsy, imaging studies (CT, MRI, ultrasound), and surgical management. This resource provides valuable insights for healthcare professionals, including physicians, nurses, and medical coders seeking accurate and up-to-date information on parotid masses.
Also known as
Benign neoplasm of parotid gland
Non-cancerous growths or tumors in the parotid salivary gland.
Malignant neoplasm of parotid gland
Cancerous growths or tumors in the parotid salivary gland.
Other specified neoplasms of uncertain behavior of salivary glands
Growths in the salivary glands with unclear potential to be cancerous.
Localized swelling, mass, or lump, head
A noticeable swelling or lump in the head region, including the parotid gland area.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the parotid mass neoplastic?
When to use each related code
| Description |
|---|
| Parotid gland swelling |
| Sialolithiasis |
| Lymphadenopathy |
Coding parotid mass without specifying left, right, or bilateral can lead to inaccurate reporting and reimbursement issues. Impacts CDI queries and compliance.
Incorrectly coding a neoplastic vs. non-neoplastic parotid mass (e.g., cyst, inflammation) affects clinical data integrity and subsequent treatment planning. Crucial for accurate medical coding.
Lack of documentation specifying size, nature (e.g., solid, cystic), and imaging findings can complicate accurate code assignment and impact healthcare compliance audits and physician query rates.
Patient presents with a parotid gland mass, raising concerns for parotid gland tumor, parotid swelling, or parotid gland enlargement. Onset of the parotid mass was [Onset - e.g., gradual, sudden], and the patient reports [Symptoms - e.g., pain, tenderness, facial numbness, difficulty swallowing, facial weakness]. The mass is located in the [Location - e.g., preauricular, infra-auricular, retromandibular] region of the [Laterality - right or left] parotid gland and is characterized as [Size - e.g., small, large, measured in cm], [Shape - e.g., round, oval, irregular], [Consistency - e.g., firm, soft, mobile, fixed], and [Surface - e.g., smooth, nodular]. Relevant medical history includes [Medical History - e.g., smoking history, previous radiation exposure, family history of salivary gland tumors]. Differential diagnosis includes pleomorphic adenoma, Warthin tumor, mucoepidermoid carcinoma, benign lymphoepithelial lesion, sialolithiasis, and parotid lymphadenopathy. Physical examination revealed [Physical Exam Findings - e.g., palpable mass, facial nerve function intact or impaired, cervical lymphadenopathy]. Imaging studies, including [Imaging - e.g., ultrasound, CT scan, MRI], were ordered to further evaluate the parotid mass and assess for malignancy. Fine needle aspiration biopsy (FNAB) is planned for tissue diagnosis. Treatment options, including surgical resection (parotidectomy - superficial or total), will be discussed based on biopsy results and clinical findings. Patient education provided regarding parotid surgery risks, complications, and post-operative care. ICD-10 code D11.0 (benign neoplasm of parotid gland) or C07 (malignant neoplasm of parotid gland) will be assigned based on final diagnosis. CPT codes for procedures, such as FNAB and parotidectomy, will be determined and documented accordingly. Follow-up appointment scheduled for [Date] to discuss biopsy results and treatment plan.