Current RMA Instruments:

Changes from Previous Instruments:

SOP Bulletin 181

ICD Coding:

• ICD-9-CM Codes: 194.30, 227.30, 237.00
• ICD-10-AM Codes: C75.1, D35.2, D44.3

Confirming the diagnosis:

Tumours can be identified on MRI or CT scanning, but confirmation requires histological examination from excision or biopsy of the tumour.   Hormone levels (from blood testing) can give an indication of the tumour type.  

The relevant medical specialist is a neurosurgeon or endocrinologist.

Additional diagnoses covered by these SOPs:

• Pituitary adenoma

Conditions excluded from these SOPs:    [Other SOP for that condition]

• Carcinoid of pituitary    Non-SOP
• Craniopharyngioma    Non-SOP
• Hodgkin’s lymphoma of pituitary    Hodgkin’s lymphoma
• Non-Hodgkin’s lymphoma of the pituitary     Non-Hodgkin’s lymphoma
• Secondary neoplasm of the pituitary    SOP for primary cancer site
• Soft tissue sarcoma of the pituitary    Soft tissue sarcoma

Further notes and comments

There is a SOP factor for “ACTH secreting pituitary adenomas only”, so information on the specific hormonal type will be required if that factor may be relevant.