D32.1
BillableBenign neoplasm of spinal meninges
HCC Category Mapping
V28HCC 23 — Melanoma and Other Skin Cancers
0.251V24HCC 12 — Breast, Prostate, and Other Cancers and Tumors
0.150ESRDHCC 12 — Breast, Prostate, and Other Cancers and Tumors
0.000RxHCCHCC 22 — Cancer, Other Specified Sites
0.000What This Code Means
A non-cancerous tumor that grows in the protective membrane surrounding the spinal cord.
Coding Tips
- •Verify whether the meningioma is spinal or intracranial to ensure correct code selection
- •Document the location and size of the tumor as this may affect treatment planning and future coding
Clinical Significance
Benign neoplasm of the spinal meninges typically represents a spinal meningioma, which accounts for approximately 25-46% of all spinal cord tumors. These tumors are most common in middle-aged women and usually present in the thoracic spine. Spinal meningiomas can cause progressive myelopathy, radiculopathy, or sensory changes depending on the level and degree of spinal cord compression.
Documentation Requirements
- ✓MRI of the spine documenting the intradural extramedullary mass with meningeal attachment.
- ✓Document the spinal level (cervical, thoracic, lumbar), tumor size, degree of spinal cord compression, and neurological symptoms.
- ✓If resected, pathology must confirm WHO Grade I benign histology.
- ✓Treatment approach and functional outcome should be recorded.
Commonly Confused Codes
D32.0 (benign neoplasm of cerebral meninges) is for intracranial meningiomasD33.4 (benign neoplasm of spinal cord) is for intramedullary tumorsD42.1 (neoplasm of uncertain behavior of spinal meninges) is for WHO Grade II spinal meningiomasD32.9 (benign meninges, unspecified) should not be used when spinal location is documented.
Code Hierarchy
└D32Benign neoplasm of meninges└D32.1Benign neoplasm of spinal meninges
└D32.1Benign neoplasm of spinal meninges