2025 ICD-10-CM code D10.5
(Active) Effective Date: N/A Revision Date: N/A Benign neoplasms, except benign neuroendocrine tumors (D10-D36) - Benign neoplasm of other parts of oropharynx Chapter II: Neoplasms (C00-D49) Feed
Benign neoplasm of the oropharynx, excluding the tonsils and specific sites like the lip, tongue, and floor of the mouth.
Medical necessity for treatment is based on the patient's symptoms, the potential for complications (e.g., airway obstruction, dysphagia), and the characteristics of the lesion.
Clinicians diagnose this condition based on patient history, physical examination of the oral cavity and throat, and may use biopsies, fine needle aspiration, X-rays, or CT scans. Treatment can include lesion excision and cryotherapy.
In simple words: This code represents a non-cancerous growth or tumor in your throat area, specifically in a part called the oropharynx. This area is behind your mouth and includes the back of your tongue, the roof of your mouth, and the walls of your throat.
A non-cancerous growth in parts of the oropharynx not otherwise specified.The oropharynx includes the base of the tongue, the soft palate, the tonsils, and the side and back walls of the throat. This code excludes neoplasms of specific oropharyngeal structures already represented by other codes (like the tonsils themselves),and specifically excludes benign neoplasms of the epiglottis NOS (D14.1) and benign neoplasm of epiglottis, suprahyoid portion (D14.1).
Example 1: A patient presents with difficulty swallowing and a small growth on the back of their throat.A biopsy reveals a benign tumor, and the location does not correspond to other, more specific D10 codes. D10.5 is used., A patient with a history of smoking has a persistent sore throat. Examination reveals a benign neoplasm on the soft palate, and D10.5 is applied., During a routine dental check-up, a benign growth is found on the lateral wall of the oropharynx.Biopsy confirms it is benign, and as the location is not the tonsil, D10.5 is used.
Documentation should include details of the lesion's location, size, and morphology (from biopsy or other diagnostic methods), as well as patient symptoms and medical history. Information about risk factors like smoking or alcohol use should also be noted.
- Specialties:Otolaryngology, Head and Neck Surgery, Oral and Maxillofacial Surgery
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center