Schwannomatosis ICD-10-CM Diagnosis Code D36.11 [convert to ICD-9-CM] Benign neoplasm of peripheral nerves and autonomic nervous system of face, head, and neck
Short description: Benign neo spinal cord. ICD-9-CM 225.3 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 225.3 should only be used for claims with a date of service on or before September 30, 2015.
Schwannoma of spinal cord; Clinical Information. A benign growth of the cells that comprise the spinal cord. A primary, non-invasive neoplasm without metastatic potential affecting the spinal cord. Representative examples include dermoid cyst, lipoma, and neurofibroma. ICD-10-CM D33.4 is grouped within Diagnostic Related Group(s) (MS-DRG v 38.0):
D33.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM D33.4 became effective on October 1, 2018.
A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere.
The 2022 edition of ICD-10-CM D33.4 became effective on October 1, 2021.
For a biopsy or a shave removal you do not have to wait for path so the Dx code that the coder can use is the L98.9 for skin lesion. For an excision the claim must be held and wait for path as the CPT codes are available for only benign or malignant status.
You can use a benign excision code. You can also code with D49.2 to show medical necessity. (Be sure your carrier recognizes D49.2 vs. only D4 8.5 and vice versa). For most benign skin lesion removal policies, you don't have to show the final diagnosis on the claim.
schwannoma can be either benign or malignant although benign is more common. prior to pathology if you are wanting to code this, for this example since the provider did render a dx of cyst on scalp then that would be the appropriate code. E.
you cannot use a d48.5 without a path repot. This code was not created for when your provider is not sure what the final dx will be, it was created for use when the pathologist is unable to determine whether the neoplasm is malignant or benign. the code book does contain this instruction.. it states:#N#•Categories D37-D44, and D48 classify by site neoplasms of uncertain behavior, i.e., histologic confirmation whether the neoplasm is malignant or benign cannot be made. Histologic confirmation means the sample has been reviewed by a pathologist under a microscope.#N#schwannoma can be either benign or malignant although benign is more common. prior to pathology if you are wanting to code this, for this example since the provider did render a dx of cyst on scalp then that would be the appropriate code.