Leiomyoma of uterus
Chapter 2:Neoplasms
ICD-10 D25 is a billable code used to indicate a diagnosis of leiomyoma of uterus.
Leiomyoma of the uterus, commonly referred to as uterine fibroids, are benign tumors that arise from the smooth muscle tissue of the uterus. They are the most common type of tumor found in the female reproductive system and can vary in size, number, and location within the uterus. Symptoms may include heavy menstrual bleeding, pelvic pain, and pressure symptoms, although many women remain asymptomatic. The exact cause of leiomyomas is not fully understood, but they are influenced by hormonal factors, particularly estrogen and progesterone. Diagnosis is typically made through pelvic examination, ultrasound, or MRI. Management options depend on the severity of symptoms and may include watchful waiting, medication to manage symptoms, or surgical interventions such as myomectomy or hysterectomy. Follow-up care is essential to monitor for symptom recurrence or complications, especially in women who choose conservative management.
Detailed documentation of symptoms, size, and location of leiomyomas, as well as treatment plans.
Management of symptomatic fibroids, pre-operative assessments, and post-operative follow-ups.
Ensure accurate coding of any associated conditions such as anemia due to heavy menstrual bleeding.
Clear imaging reports indicating the presence, size, and location of leiomyomas.
Ultrasound or MRI evaluations for suspected uterine fibroids.
Radiology reports should correlate with clinical findings for accurate coding.
Used when a patient with symptomatic leiomyomas undergoes a hysterectomy.
Document indication for surgery, size, and location of leiomyomas.
Obstetricians should ensure that all relevant clinical information is included in the surgical report.
Common symptoms include heavy menstrual bleeding, pelvic pain, frequent urination, and pressure symptoms. However, many women may be asymptomatic.
Diagnosis is typically made through pelvic examination, ultrasound, or MRI, which can visualize the size and location of the fibroids.
Treatment options range from watchful waiting and medication to surgical interventions such as myomectomy or hysterectomy, depending on the severity of symptoms.
