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Cerebral Meningioma B051

Last amended 
26 June 2015

Current RMA Instruments:

Consolidated RH SOP
19 of 2009 as amended by 59 of 2011
Consolidated BOP SOP
20 of 2009 as amended by 60 of 2011
Changes from Previous Instruments:

SOP Bulletin 150

 ICD Coding:
  • ICD-9-CM Codes: 225.2
  • ICD-10-AM Codes: D32.0, D32.9

This SOP covers meningiomas that are benign or intermediate grade and arise in the lining of the brain.  It does not cover malignant meningiomas (rare) or meningiomas of the lining of the spinal cord (also rare).

Is specific diagnostic evidence required to apply the SOP?No.
Are there sub-factors that require specific information? – No.
Additional diagnoses covered by SOP (see also classification, below)
  • Atypical meningioma (WHO grade II)
  • Benign meningioma (WHO grade I)
  • Intermediate grade meningioma (WHO grade II)
Conditions excluded from SOP
  • Anaplastic meningioma (WHO grade III), ICD code 192.1
  • Malignant meningioma (WHO grade III), ICD code 192.1
  • Meningioma arising in the spinal cord meninges, ICD code 225.4
Unconfirmed diagnosis

If, after applying the above information, you are unable to confirm the diagnosis, you should then

  1. seek medical officer advice about further investigation, or;
  2. generate a diagnostic report, or;
  3. re-encode the condition, if appropriate.

The following investigations may be useful in establishing the diagnosis.

  • Report from treating neurosurgeon
  • Report of MRI scan of brain
  • Histology report
World Health Organisation 2000 Classification of Meningiomas:

WHO Grade 1 (covered by SOP)

  • Meningiothelial meningioma
  • Fibrous (fibroblastic) meningioma
  • Transitional (mixed) meningioma
  • Psammomatous meningioma
  • Angiomatous meningioma
  • Microcystic meningioma
  • Secretory meningioma
  • Lymphoplasmacyte-rich meningioma
  • Metaplastic meningioma

WHO Grade 2 (covered by SOP)

  • Chordoid meningioma
  • Clear cell meningioma
  • Atypical meningioma

WHO Grade 3 (covered by MN cerebral meninges SOP)

  • Papillary meningioma
  • Rhabdoid meningioma
  • Anaplastic meningioma