Benign neoplasm of unspecified adrenal gland

This code signifies the presence of a non-cancerous tumor originating in an adrenal gland where the specific side (left or right) is not documented. These benign growths, often discovered incidentally, typically do not spread to other parts of the body but may produce hormones or cause mass effect symptoms.

Apply this code when medical record documentation confirms a benign adrenal neoplasm, but the laterality (left or right adrenal gland) is not specified. This is appropriate for initial diagnosis, follow-up, or management of such a lesion when the specific gland is unknown or unrecorded.

• Only use this code when laterality is truly unspecified; if laterality is documented, use the more specific codes (D35.01 for right, D35.02 for left).
• Ensure documentation clearly states "benign neoplasm" or "adenoma" of the adrenal gland; do not use for malignant or uncertain behavior tumors.
• Consider sequencing this code as a primary diagnosis if it is the reason for the encounter, or as a secondary diagnosis if it is an incidental finding being monitored.