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ICD-10 Guide
ICD-10 CodesD28.7

D28.7

Billable

Benign neoplasm of other specified female genital organs

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D28.7 is a billable code used to indicate a diagnosis of benign neoplasm of other specified female genital organs.

Key Diagnostic Point:

Benign neoplasms of the female genital organs encompass a variety of non-cancerous tumors that can occur in various structures such as the vulva, vagina, cervix, uterus, and ovaries. These neoplasms may include fibromas, adenomas, and lipomas, among others. They are typically asymptomatic but can sometimes present with symptoms such as abnormal bleeding, pelvic pain, or pressure symptoms depending on their size and location. Diagnosis is often made through imaging studies such as ultrasound or MRI, and histological examination may be required for definitive diagnosis. Management usually involves monitoring for changes in size or symptoms, and surgical intervention may be necessary if the neoplasm causes significant discomfort or complications. Follow-up care is essential to ensure that the neoplasm remains benign and does not progress to malignancy. Regular gynecological examinations are recommended for early detection and management of any changes in the neoplasm's characteristics.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of benign neoplasms that can be coded under this category.
  • Need for precise documentation to differentiate between types of neoplasms.
  • Potential for overlapping symptoms with malignant conditions.
  • Variability in management approaches based on the specific neoplasm.

Audit Risk Factors

  • Inadequate documentation of the neoplasm's characteristics.
  • Failure to specify the location of the neoplasm.
  • Misclassification of benign neoplasms as malignant.
  • Lack of follow-up documentation to support ongoing management.

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed descriptions of the neoplasm, including size, location, and any symptoms.

Common Clinical Scenarios

Management of asymptomatic fibroids, evaluation of abnormal uterine bleeding.

Billing Considerations

Ensure that the documentation clearly states the benign nature of the neoplasm to avoid misclassification.

Pathology

Documentation Requirements

Histopathological reports that confirm the benign nature of the neoplasm.

Common Clinical Scenarios

Review of biopsy specimens from female genital organs.

Billing Considerations

Accurate reporting of histological findings is crucial for proper coding.

Coding Guidelines

Inclusion Criteria

Use D28.7 When
  • According to ICD
  • 10 coding guidelines, D28
  • 7 should be used when a benign neoplasm of a female genital organ is specified but does not fall under more specific categories
  • Coders should ensure that the documentation supports the diagnosis and that the neoplasm is confirmed as benign

Exclusion Criteria

Do NOT use D28.7 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58150CPT Code

Total abdominal hysterectomy

Clinical Scenario

Performed for symptomatic benign neoplasms of the uterus.

Documentation Requirements

Operative report detailing the indication for surgery and findings.

Specialty Considerations

Gynecologists should ensure that the diagnosis aligns with the procedure performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of data collection and reimbursement processes. D28.7 provides a clear classification for neoplasms that do not fit into more specific categories, enhancing the ability to track and manage these conditions effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of data collection and reimbursement processes. D28.7 provides a clear classification for neoplasms that do not fit into more specific categories, enhancing the ability to track and manage these conditions effectively.

Reimbursement & Billing Impact

reimbursement processes. D28.7 provides a clear classification for neoplasms that do not fit into more specific categories, enhancing the ability to track and manage these conditions effectively.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common symptoms of benign neoplasms in female genital organs?

Common symptoms may include abnormal bleeding, pelvic pain, or pressure symptoms, but many benign neoplasms are asymptomatic.

How often should patients with benign neoplasms be monitored?

Patients should have regular follow-ups, typically annually or as needed based on symptoms or changes in the neoplasm.