In simple words: This code indicates cancer in the inner part of the adrenal gland, which sits on top of your kidneys. This type of cancer is rare and can sometimes cause problems with hormones that control heart rate and blood pressure.

This code represents a malignant neoplasm originating in the medulla (inner part) of the adrenal gland. The adrenal medulla is responsible for producing hormones like epinephrine and norepinephrine, which regulate heart rate, blood pressure, and the body's response to stress.

Example 1: A 45-year-old patient presents with persistent hypertension, headaches, and excessive sweating.Biochemical tests reveal elevated levels of catecholamines. Imaging studies confirm a mass in the adrenal medulla, biopsied and diagnosed as a malignant pheochromocytoma (C74.1)., During a routine abdominal CT scan for an unrelated issue, a 60-year-old patient is found to have an adrenal mass. Further investigation with a biopsy reveals a malignant neoplasm of the adrenal medulla (C74.1), even though the patient is currently asymptomatic., A 2-year-old child displays symptoms such as an abdominal mass, bone pain, and weight loss.After extensive diagnostic workup, including imaging and biopsy, a diagnosis of neuroblastoma of the adrenal medulla (C74.1) is made.

Documentation should include detailed clinical findings (e.g., symptoms, physical exam), imaging reports (e.g., CT, MRI), pathology reports confirming malignancy, and hormone level assessments. Any associated conditions like hypertension or other hormonal imbalances should also be documented.

** It is crucial to distinguish C74.1 (malignant neoplasm of adrenal medulla) from other adrenal gland tumors, such as benign pheochromocytomas and adrenocortical carcinomas, which have different codes and management strategies.iFrameAI offers comprehensive resources for accurate coding and billing of adrenal gland conditions.