ICD-10 Coding for Uterine Myoma(D25.0, D25.0B, D25.0S)
Learn about ICD-10 coding for uterine myoma, including specific codes for submucous, intramural, and subserosal fibroids, and documentation requirements.
Complete code families applicable to Uterine Myoma
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 fibroid is submucous as confirmed by imaging. |
|
| D25.1 | Intramural leiomyoma of uterus | Use when fibroid is intramural as confirmed by imaging. |
|
| D25.2 | Subserosal leiomyoma of uterus | Use when fibroid is subserosal as confirmed by imaging. |
|
| D25.9 | Leiomyoma of uterus, unspecified | Use only when fibroid location is not specified in documentation. |
|
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 aboutUterine Myoma
Alternative codes to consider when ruling out similar conditions
Documentation & Coding Risks
Avoid these common issues when documenting Uterine Myoma.
Not documenting fibroid weight and number in surgical notes
Impact
Clinical: Inaccurate surgical records, Regulatory: Non-compliance with coding guidelines, Financial: Potential for incorrect billing and reimbursement
Mitigation
Use standardized templates for surgical documentation, Verify documentation completeness before coding
Using unspecified code D25.9 when fibroid location is documented
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding specificity requirements., Data Quality: Decreases accuracy of medical records.
Mitigation
Ensure documentation specifies fibroid location to use specific codes like D25.0, D25.1, or D25.2.
Use of unspecified codes
Impact
High risk of audit if unspecified codes are used when specific details are available.
Mitigation
Ensure all documentation includes specific fibroid details to use precise codes.