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v1.0.0
ICD-10 Guide
ICD-10 CodesN88.4

N88.4

Billable

Hypertrophic elongation of cervix uteri

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

Code Description

ICD-10 N88.4 is a billable code used to indicate a diagnosis of hypertrophic elongation of cervix uteri.

Key Diagnostic Point:

Hypertrophic elongation of the cervix uteri refers to an abnormal condition characterized by the excessive growth and elongation of the cervical tissue. This condition can arise due to various factors, including hormonal imbalances, chronic irritation, or previous surgical interventions. Clinically, hypertrophic elongation may present with symptoms such as abnormal vaginal discharge, pelvic discomfort, or irregular menstrual bleeding. It is essential to differentiate this condition from other cervical pathologies, such as cervical dysplasia or malignancy, through appropriate diagnostic measures, including Pap smears and colposcopy. The elongation may lead to complications during childbirth or gynecological procedures, necessitating careful monitoring and management. Treatment options may vary from conservative management to surgical interventions, depending on the severity of the elongation and associated symptoms. Accurate coding of this condition is crucial for proper patient management and reimbursement processes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other cervical conditions such as dysplasia or malignancy.
  • Need for comprehensive documentation of symptoms and diagnostic tests.
  • Potential for overlapping symptoms with other gynecological disorders.
  • Variability in treatment approaches based on individual patient factors.

Audit Risk Factors

  • Inadequate documentation of symptoms leading to misdiagnosis.
  • Failure to include relevant diagnostic tests in the medical record.
  • Inconsistent coding practices among different providers.
  • Lack of clarity in treatment plans and follow-up care.

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed patient history, physical examination findings, and results of diagnostic tests such as Pap smears and colposcopy.

Common Clinical Scenarios

Patients presenting with abnormal vaginal bleeding, pelvic pain, or abnormal Pap results.

Billing Considerations

Ensure that all relevant symptoms and diagnostic findings are documented to support the diagnosis.

Obstetrics

Documentation Requirements

Documentation of cervical length during pregnancy and any complications related to cervical elongation.

Common Clinical Scenarios

Pregnant patients with a history of cervical elongation presenting for routine prenatal care.

Billing Considerations

Monitor for potential complications during labor and delivery.

Coding Guidelines

Inclusion Criteria

Use N88.4 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include any relevant diagnostic tests and treatment plans in the medical record to substantiate the use of N88

Exclusion Criteria

Do NOT use N88.4 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58100CPT Code

Endometrial biopsy

Clinical Scenario

Used when a biopsy is performed to evaluate abnormal cervical findings.

Documentation Requirements

Document the indication for the biopsy and any findings.

Specialty Considerations

Gynecologists should ensure that the biopsy results are clearly linked to the diagnosis.

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 hypertrophic elongation of the cervix, improving the accuracy of patient records and reimbursement processes. It emphasizes the need for 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 hypertrophic elongation of the cervix, improving the accuracy of patient records and reimbursement processes. It emphasizes the need for detailed documentation to support the diagnosis.

Reimbursement & Billing Impact

reimbursement processes. It emphasizes the need for 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 are the common symptoms of hypertrophic elongation of the cervix?

Common symptoms include abnormal vaginal discharge, pelvic pain, and irregular menstrual bleeding. Some patients may be asymptomatic.

How is hypertrophic elongation diagnosed?

Diagnosis is typically made through a pelvic examination, Pap smear, and possibly colposcopy to rule out other cervical conditions.

What treatment options are available for hypertrophic elongation?

Treatment may include monitoring, hormonal therapy, or surgical intervention depending on the severity of the elongation and associated symptoms.