ICD code D35.2 is used to classify a benign tumor in the pituitary gland for medical documentation and insurance purposes.
ICD code D35.2 is a classification used to identify a benign neoplasm, or non-cancerous tumor, located in the pituitary gland. The pituitary gland is a small, pea-sized organ at the base of the brain that plays a crucial role in regulating various hormones in the body. This code is used in medical billing and documentation to specify the diagnosis of a benign tumor in this particular gland, which can affect hormone production and lead to various health issues.
When considering the use of the ICD code for a benign neoplasm of the pituitary gland, healthcare providers should evaluate the following diagnostic criteria and symptoms:
1. Presence of a Mass or Lesion: Imaging studies such as MRI or CT scans reveal a mass or lesion located in the pituitary gland.
2. Hormonal Imbalance: Evidence of hormonal imbalances, which may include abnormal levels of pituitary hormones such as prolactin, growth hormone, or adrenocorticotropic hormone (ACTH).
3. Visual Disturbances: Symptoms such as blurred vision, double vision, or loss of peripheral vision due to the mass pressing on the optic chiasm.
4. Headaches: Persistent or recurrent headaches that may be associated with the presence of the pituitary mass.
5. Symptoms of Hypopituitarism: Clinical signs of reduced pituitary function, such as fatigue, weakness, weight changes, or decreased libido.
6. Incidental Finding: Discovery of a pituitary mass during imaging for unrelated conditions, without overt symptoms.
7. Endocrine Evaluation: Abnormal results from endocrine function tests that suggest pituitary involvement.
8. Growth Patterns: Slow-growing mass that is consistent with benign characteristics, as opposed to aggressive or rapidly expanding lesions.
9. Biopsy Results: Histological confirmation of a benign neoplasm upon biopsy, if performed.
10. Family History: Consideration of any family history of pituitary disorders or neoplasms that may support the diagnosis.
These criteria should be used collectively to determine the appropriateness of applying the ICD code for a benign neoplasm of the pituitary gland.
For the ICD code D35.2, which pertains to a benign neoplasm of the pituitary gland, the relevant CPT codes that may be applicable for treatment or procedures include:
1. 61548 - Excision or resection of pituitary tumor, transnasal or trans-sphenoidal approach, including sellar reconstruction, when performed.
2. 61796 - Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion.
3. 61797 - Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure).
4. 61798 - Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion.
5. 61799 - Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure).
6. 64999 - Unlisted procedure, nervous system (used when no other specific code is applicable).
These CPT codes are typically used in the context of surgical or radiosurgical interventions for the treatment of pituitary gland neoplasms. It is important for healthcare providers to verify the most current coding guidelines and ensure that the selected CPT codes accurately reflect the services provided.
Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments for CPT codes associated with ICD code D35.2. Schedule a demo today to see how RevFind can help ensure you're receiving the full reimbursement you deserve.