Wiki right atrial mass dx code

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Code: I48.91

Code Name: ICD-10 Code for Unspecified atrial fibrillation

Block: Other forms of heart disease (I30-I52)

Details: Unspecified atrial fibrillation

Guidelines: Diseases of the circulatory system (I00-I99)

Excludes 2: certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
systemic connective tissue disorders (M30-M36)
transient cerebral ischemic attacks and related syndromes (G45.-)

For more details on I48.91, ICD-10 Code for Unspecified atrial fibrillation , visit: https://coder.aapc.com/icd-10-codes/

stpat

Networker
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Our docs quite often use "right atrial mass" as their diagnosis when doing a TEE. Is there a better diagnosis code to use than 786.6?
 

jkinzler

New
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ICD-9 code for atrial mass for TEE testing

I would not use 212.7 (benign neoplasm of respiratory and intrathoracic organs; heart) for an atrial mass, especially since ICD-9 guidelines state that use of a neoplasm dx code should be confirmed by a pathology report. ICD-9 guidelines specifically state, "The term 'mass,' unless otherwise stated, is not to be regarded as a neoplastic growth." So, I agree that your best option is to use 429.89.
 
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MacksMom

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Check Pathology Report First

I would check the pathology report before I coded anything. If the report comes back stating there is evidence for neoplasm, but that the neoplasm is benign, then 212.7 would be correct. If pathology comes back stating that there is no evidence for neoplasm (perhaps the mass is just extra endomyocardial tissue, but the word "fibrosis" isn't used) then 212.7 (benign neoplasm; heart) would be incorrect and I would use 429.89 (other ill-defined heart disease) or 429.9 (heaert disease NOS) based on the information documented for the case.

Jennifer Haney CPC, CCC
 
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