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v1.0.0
ICD-10 Guide
ICD-10 CodesD26.0

D26.0

Billable

Other benign neoplasm of cervix uteri

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D26.0 is a billable code used to indicate a diagnosis of other benign neoplasm of cervix uteri.

Key Diagnostic Point:

D26.0 refers to other benign neoplasms of the cervix uteri, which are non-cancerous growths that can occur in the cervical tissue. These neoplasms may include various types of tumors such as adenomas, fibromas, or other benign lesions that do not exhibit malignant characteristics. Clinically, these neoplasms may present with symptoms such as abnormal vaginal bleeding, pelvic pain, or may be asymptomatic and discovered incidentally during routine gynecological examinations. Diagnosis typically involves a combination of pelvic examinations, imaging studies such as ultrasound or MRI, and histopathological evaluation following biopsy. Management of benign neoplasms of the cervix may include observation, medical management, or surgical intervention depending on the size, symptoms, and potential complications associated with the neoplasm. Regular follow-up is essential to monitor for any changes in the neoplasm's characteristics or symptoms, ensuring timely intervention if necessary.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of benign neoplasms that can be classified under this code
  • Need for precise documentation to differentiate from malignant conditions
  • Potential for overlapping symptoms with other gynecological conditions
  • Variability in treatment approaches based on patient symptoms and neoplasm characteristics

Audit Risk Factors

  • Inadequate documentation of the neoplasm's characteristics
  • Failure to specify the type of benign neoplasm
  • Misdiagnosis or misclassification with malignant neoplasms
  • Lack of follow-up documentation post-treatment

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed descriptions of the neoplasm, treatment plans, and follow-up care.

Common Clinical Scenarios

Routine gynecological exams revealing cervical lesions, management of abnormal bleeding.

Billing Considerations

Ensure clear differentiation between benign and malignant lesions in documentation.

Pathology

Documentation Requirements

Histopathological reports detailing the nature of the neoplasm.

Common Clinical Scenarios

Biopsy results indicating benign neoplasms of the cervix.

Billing Considerations

Accurate coding based on histological findings is crucial.

Coding Guidelines

Inclusion Criteria

Use D26.0 When
  • Follow the official ICD
  • CM coding guidelines, ensuring to include specific details about the neoplasm type and any associated symptoms

Exclusion Criteria

Do NOT use D26.0 When
  • Exclude malignant neoplasms and ensure accurate documentation of the diagnosis

Related ICD-10 Codes

Related CPT Codes

58150CPT Code

Total abdominal hysterectomy

Clinical Scenario

Performed for symptomatic benign neoplasm of the cervix.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Gynecological specialties should ensure accurate coding based on the surgical approach.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 benign neoplasms of the cervix?

Common symptoms include abnormal vaginal bleeding, pelvic pain, and in some cases, they may be asymptomatic and found incidentally during routine examinations.