ICD-10 Coding for Leiomyoma(C54.2, D25.0, D25.0B)
Explore detailed ICD-10 coding guidelines for leiomyoma, including submucous, intramural, and subserosal fibroids. Learn about documentation requirements and coding pitfalls.
Complete code families applicable to Leiomyoma
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D25.0 | Submucous leiomyoma of uterus | Use when the fibroid is submucosal and causing symptoms like menorrhagia. |
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| D25.1 | Intramural leiomyoma of uterus | Use when the fibroid is intramural and causing symptoms like bulk symptoms. |
|
| D25.2 | Subserosal leiomyoma of uterus | Use when the fibroid is subserosal and causing symptoms like torsion pain. |
|
| D25.9 | Leiomyoma of uterus, unspecified | Use when the fibroid location is unspecified and no symptoms are present. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information
Essential facts and insights aboutLeiomyoma
Alternative codes to consider when ruling out similar conditions
Documentation & Coding Risks
Avoid these common issues when documenting Leiomyoma.
Mismatched fibroid location between op report and coding
Impact
Clinical: Inaccurate clinical data, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation
Pre-op imaging review, Intraoperative documentation template
Using D25.9 when operative report specifies location
Impact
Reimbursement: Potential claim denial or reduced payment, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate data representation
Mitigation
Amend to specific location code with surgeon's addendum
Unspecified fibroid location coding
Impact
High audit risk if D25.9 is used with surgical procedures
Mitigation
Use specific location codes when possible