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D11.0
ICD-10-CM
Parotid Mass

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

Parotid Tumor
Salivary Gland Mass

Diagnosis Snapshot

Key Facts
  • Definition : Abnormal growth in the parotid salivary gland, which can be benign or malignant.
  • Clinical Signs : Swelling or lump in front of the ear, pain, facial numbness or weakness, difficulty swallowing.
  • Common Settings : Primary care, otolaryngology (ENT), head and neck surgery clinics.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC D11.0 Coding
D11.0-D11.9

Benign neoplasm of parotid gland

Non-cancerous growths or tumors in the parotid salivary gland.

C07

Malignant neoplasm of parotid gland

Cancerous growths or tumors in the parotid salivary gland.

D48.89

Other specified neoplasms of uncertain behavior of salivary glands

Growths in the salivary glands with unclear potential to be cancerous.

R59.1

Localized swelling, mass, or lump, head

A noticeable swelling or lump in the head region, including the parotid gland area.

Code-Specific Guidance

Decision Tree for

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

Is the parotid mass neoplastic?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Parotid gland swelling
Sialolithiasis
Lymphadenopathy

Documentation Best Practices

Documentation Checklist
  • Document mass location (unilateral/bilateral, specific lobe)
  • Describe mass characteristics (size, shape, texture, mobility)
  • Document related symptoms (pain, facial weakness, dysphagia)
  • Include imaging results (ultrasound, CT, MRI findings)
  • Document FNAC or biopsy results if performed

Coding and Audit Risks

Common Risks
  • Unspecified Laterality

    Coding parotid mass without specifying left, right, or bilateral can lead to inaccurate reporting and reimbursement issues. Impacts CDI queries and compliance.

  • Neoplasm vs. Non-Neoplasm

    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.

  • Missing Detail for Size/Nature

    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.

Mitigation Tips

Best Practices
  • Document laterality, size, and characteristics for accurate ICD-10 coding (D11.0-D11.9).
  • CDI: Query for fine needle aspiration biopsy results to specify diagnosis and support HCC coding.
  • Ensure compliance with HIPAA when sharing parotid mass patient data for consultations or research.
  • Image guidance for biopsies improves diagnostic accuracy and reduces complications, impacting coding.
  • Complete medical history and physical exam crucial for staging, treatment, and compliant billing.

Clinical Decision Support

Checklist
  • Review imaging: location, size, characteristics (ICD-10 D11.0)
  • Fine needle aspiration biopsy performed and documented (SNOMED CT 426352009)
  • Assess facial nerve function, document findings (ICD-10 G51.0)
  • Consider malignancy risk factors: age, smoking history (SNOMED CT 228521009)

Reimbursement and Quality Metrics

Impact Summary
  • Parotid Mass reimbursement hinges on accurate coding (ICD-10 D11.*, CPT 42600-42670) impacting hospital case mix index.
  • Precise documentation of parotid mass size, location, and FNAC findings influences correct billing and reduces denials.
  • Timely pathology reporting for parotid mass diagnosis is crucial for accurate DRG assignment and optimal reimbursement.
  • Quality metrics for parotid mass surgery include complication rates (surgical site infection, facial nerve palsy) impacting hospital quality reporting.

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 laterality (left/right)
  • Document mass size/location
  • Specify if deep lobe involved
  • Check imaging reports for detail
  • Include fine needle aspiration results

Documentation Templates

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.