Subserosal leiomyoma of uterus
ICD-10 D25.2 is a billable code used to indicate a diagnosis of subserosal leiomyoma of uterus.
Subserosal leiomyomas, also known as fibroids, are benign tumors that develop from the smooth muscle tissue of the uterus. They are located on the outer surface of the uterus and can vary in size, shape, and number. These tumors are often asymptomatic but can lead to complications such as pelvic pain, pressure symptoms, and reproductive issues depending on their size and location. Subserosal leiomyomas can cause distortion of the uterine contour and may be associated with heavy menstrual bleeding or urinary frequency if they exert pressure on adjacent organs. Diagnosis is typically made through imaging studies such as ultrasound or MRI, which can help differentiate them from other uterine masses. Management options include observation for asymptomatic cases, medical therapy to manage symptoms, and surgical interventions such as myomectomy or hysterectomy for symptomatic patients. Follow-up care is essential to monitor for any changes in size or symptoms, especially in women of reproductive age.
Detailed documentation of symptoms, imaging results, and treatment plans.
Patients presenting with pelvic pain, heavy menstrual bleeding, or infertility.
Ensure clear documentation of the fibroid's size, location, and any associated symptoms.
Comprehensive imaging reports detailing the characteristics of the leiomyoma.
Ultrasound or MRI evaluations for suspected uterine fibroids.
Accurate reporting of the fibroid's location and size is crucial for proper coding.
Performed for symptomatic subserosal leiomyoma.
Document indication for surgery and pre-operative evaluations.
Obstetricians should ensure all pre-operative assessments are documented.
Common symptoms include pelvic pain, pressure symptoms, heavy menstrual bleeding, and urinary frequency. However, many women may be asymptomatic.
