Benign neoplasm of female genital organ, unspecified
ICD-10 D28.9 is a billable code used to indicate a diagnosis of benign neoplasm of female genital organ, unspecified.
Benign neoplasms of the female genital organs encompass a variety of non-cancerous growths that can occur in structures such as the ovaries, uterus, cervix, and vulva. These neoplasms can manifest as fibroids, cysts, or adenomas, and while they are typically asymptomatic, they may 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 may involve observation, medication for symptom relief, or surgical intervention if the neoplasm causes significant symptoms or complications. Regular follow-up is essential to monitor for changes in size or symptoms, ensuring that any potential malignant transformation is identified early. The unspecified nature of this code indicates that the specific type of benign neoplasm has not been documented, which may complicate treatment planning and follow-up care.
Detailed descriptions of the neoplasm, including size, location, and symptoms.
Management of uterine fibroids, ovarian cysts, or cervical polyps.
Ensure that the type of neoplasm is documented to avoid unspecified coding.
Clear differentiation between benign and malignant findings, including imaging and pathology reports.
Evaluation of pelvic masses and follow-up of previously diagnosed benign neoplasms.
Documentation must reflect the ongoing monitoring for potential malignant transformation.
Used when a patient with a benign neoplasm requires surgical intervention.
Operative report detailing the procedure and indication.
Gynecologists should ensure that the diagnosis supports the need for surgery.
If the specific type is not documented, you may use D28.9, but it is essential to encourage providers to specify the type for accurate coding and management.
