2025 ICD-10-CM code D13.7
(Valid) Effective Date: N/A Benign neoplasms - Benign neoplasm of endocrine pancreas Chapter II: Neoplasms Feed
Benign neoplasm of endocrine pancreas. Islet cell tumor. Benign neoplasm of islets of Langerhans.
Medical necessity is based on the presence of symptoms, impact on hormone function, and potential for complications.Documentation should support the need for intervention, whether it be surgical removal or monitoring.
The endocrine pancreas (islets of Langerhans) produces hormones such as insulin, glucagon, and somatostatin. Benign neoplasms, while non-cancerous, can interfere with hormone function. Patients may experience ulcers, abdominal pain, nausea, weight loss, and lethargy. Diagnosis involves physical examination, ERCP, X-ray, MRI, and CT scan. Treatment often involves surgical removal.
In simple words: A non-cancerous tumor in the part of the pancreas that produces hormones like insulin and glucagon. While generally not life-threatening, it can sometimes affect hormone production.
Benign neoplasm of endocrine pancreas. Islet cell tumor. Benign neoplasm of islets of Langerhans. Use additional code to identify any functional activity.
Example 1: A patient presents with persistent abdominal pain, nausea, and weight loss. After imaging studies, a benign insulinoma is found in the pancreas., A routine abdominal CT scan reveals a non-functional benign islet cell tumor in a patient without symptoms., A patient with a history of obesity and chronic pancreatitis is diagnosed with a benign glucagonoma after experiencing recurring ulcers and lethargy.
Medical history, physical exam findings, imaging results (ERCP, X-ray, MRI, CT scan), operative report (if surgery performed), pathology report.
** Excludes1: benign stromal tumors of digestive system (D21.4)
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