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ICD-10 Guide
DiagnosesUterine Fibroid

Uterine Fibroid

ICD-10 Coding for Uterine Fibroid(D25.0, D25.1, D25.2, D25.9)

PRIMARY SPECIALTYRadiology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Uterine Fibroid?
Essential facts and insights about Uterine Fibroid

Key Clinical Considerations:

  • Heavy menstrual bleeding
  • Pelvic pain or pressure
  • Urinary frequency or urgency
  • Key diagnostic tests: Ultrasound, MRI
  • Physical exam findings: Enlarged uterus, palpable masses

Clinical Information

Clinical Criteria & Documentation Requirements

  • Required documentation elements: Patient history, symptom description, imaging results
  • Specific coding terminology: Leiomyoma, fibromyoma
  • Documentation examples: 'Patient presents with heavy menstrual bleeding and pelvic pain. Ultrasound shows multiple uterine fibroids.'

Coding Guidelines

Usage Guidelines & Examples

  • Usage guidelines: Use specific codes based on fibroid location and symptoms.
  • Common errors: Misclassifying the type of fibroid or omitting relevant symptoms.

Code Exclusions

Important Exclusions

  • Excluded conditions: Uterine cancer, endometrial hyperplasia.
  • Alternative codes: Consider codes for related conditions if applicable.

Related ICD-10 Codes

Primary Codes
D25.9
Uterine fibroid, unspecified
D25.0
Subserosal uterine fibroid
D25.1
Intramural uterine fibroid
D25.2
Submucosal uterine fibroid
Ancillary Codes
N92.0
R10.2
D64.9
Differential Codes
N85.0
N80.0
C55

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Radiology

Specialty Applications

  • Patient populations: Women of reproductive age, especially those with heavy menstrual bleeding.
  • Clinical settings: Outpatient clinics, radiology departments, gynecology practices.

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include patient symptoms, imaging results, and treatment plan.

Billing considerations?

Ensure accurate coding to reflect the type and severity of fibroids for proper reimbursement.