Endometrial hyperplasia
ICD-10 N85.0 is a billable code used to indicate a diagnosis of endometrial hyperplasia.
Endometrial hyperplasia is a condition characterized by the abnormal thickening of the endometrium, the inner lining of the uterus. This condition often arises due to an imbalance between estrogen and progesterone, typically resulting from prolonged estrogen exposure without adequate progesterone. It can present in various forms, including simple hyperplasia, complex hyperplasia, and hyperplasia with atypia, each with differing implications for cancer risk. Clinically, patients may present with abnormal uterine bleeding, which can range from heavy menstrual bleeding to postmenopausal bleeding. Diagnosis is typically confirmed through endometrial biopsy or ultrasound, which may reveal thickened endometrial lining. Management strategies may include hormonal therapy, such as progestins, or surgical intervention in cases of atypical hyperplasia or when there is a significant risk of progression to endometrial cancer. Understanding the nuances of this condition is crucial for accurate coding and appropriate patient management.
Detailed documentation of patient history, symptoms, biopsy results, and treatment plans.
Patients presenting with abnormal uterine bleeding, postmenopausal bleeding, or abnormal ultrasound findings.
Ensure accurate documentation of the type of hyperplasia and any associated risk factors for endometrial cancer.
Comprehensive reports on biopsy specimens, including histological findings and any atypical features.
Pathologists evaluating endometrial biopsies for hyperplasia or malignancy.
Clear communication of findings to referring physicians to ensure appropriate coding and management.
Used when a patient with suspected endometrial hyperplasia undergoes a D&C for diagnosis.
Document indication for procedure and findings.
Obstetricians should ensure clear documentation of the procedure and any findings.
The primary cause of endometrial hyperplasia is an imbalance between estrogen and progesterone, often due to prolonged estrogen exposure without adequate progesterone.
