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v1.0.0
ICD-10 Guide
ICD-10 CodesN88.0

N88.0

Billable

Leukoplakia of cervix uteri

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N88.0 is a billable code used to indicate a diagnosis of leukoplakia of cervix uteri.

Key Diagnostic Point:

Leukoplakia of the cervix uteri is characterized by the presence of white patches or plaques on the cervical epithelium, which can be indicative of various underlying conditions. This condition is often associated with chronic irritation or inflammation, and while it is not inherently malignant, it can be a precursor to cervical dysplasia or other cervical pathologies. The etiology of leukoplakia can include persistent HPV infection, chronic cervicitis, or exposure to irritants such as tobacco smoke. Clinically, leukoplakia may be asymptomatic, but it can also present with abnormal vaginal discharge or postcoital bleeding. Diagnosis is typically made through a combination of visual inspection, Pap smear, and possibly biopsy to rule out dysplastic changes. Management may involve monitoring, treatment of any underlying conditions, or surgical intervention if dysplasia is detected. Understanding the implications of leukoplakia is crucial for preventing progression to cervical cancer, making early detection and appropriate coding essential.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between leukoplakia and other cervical lesions
  • Understanding the relationship between leukoplakia and HPV
  • Identifying associated conditions such as dysplasia
  • Documenting the clinical findings accurately

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to document associated conditions
  • Misclassification of leukoplakia as a malignant condition
  • Lack of follow-up documentation for monitoring

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed descriptions of cervical findings, biopsy results, and any associated symptoms.

Common Clinical Scenarios

Routine Pap smears revealing abnormal findings, follow-up visits for leukoplakia management.

Billing Considerations

Ensure that any biopsies or treatments are documented to support the diagnosis.

Pathology

Documentation Requirements

Histopathological reports detailing the nature of the cervical lesions.

Common Clinical Scenarios

Biopsy specimens sent for evaluation due to abnormal Pap results.

Billing Considerations

Accurate reporting of findings to correlate with gynecological diagnoses.

Coding Guidelines

Inclusion Criteria

Use N88.0 When
  • According to ICD
  • 10 guidelines, N88
  • 0 should be used when leukoplakia is confirmed and documented

Exclusion Criteria

Do NOT use N88.0 When
  • It is important to exclude other conditions that may present similarly, such as cervical cancer or inflammatory lesions

Related ICD-10 Codes

Related CPT Codes

88141CPT Code

Cervical cytology, Pap smear

Clinical Scenario

Used for routine screening and diagnosis of cervical conditions.

Documentation Requirements

Document the reason for the Pap smear and any findings.

Specialty Considerations

Gynecologists should ensure that all findings are clearly documented to support coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like leukoplakia, improving the accuracy of diagnoses and treatment tracking. It emphasizes the importance of detailed documentation to support the diagnosis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like leukoplakia, improving the accuracy of diagnoses and treatment tracking. It emphasizes the importance of detailed documentation to support the diagnosis.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like leukoplakia, improving the accuracy of diagnoses and treatment tracking. It emphasizes the importance of detailed documentation to support the diagnosis.

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 is the significance of leukoplakia of the cervix?

Leukoplakia can indicate chronic irritation or infection and may be a precursor to cervical dysplasia or cancer. It is important for healthcare providers to monitor and manage this condition appropriately.