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v1.0.0
ICD-10 Guide
ICD-10 CodesD26.7

D26.7

Billable

Other benign neoplasm of other parts of uterus

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

Code Description

ICD-10 D26.7 is a billable code used to indicate a diagnosis of other benign neoplasm of other parts of uterus.

Key Diagnostic Point:

D26.7 refers to benign neoplasms located in parts of the uterus that are not specifically classified under other codes. These neoplasms can include various types of growths such as fibroids, adenomas, or other non-cancerous tumors that may arise in the uterine tissue. While benign, these neoplasms can lead to symptoms such as abnormal uterine bleeding, pelvic pain, or pressure symptoms depending on their size and location. Diagnosis typically involves imaging studies such as ultrasound or MRI, and management may include observation, medication for symptom relief, or surgical intervention if the neoplasm causes significant symptoms or complications. Regular follow-up is essential to monitor for any changes in size 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 of the neoplasm's characteristics
  • Differentiation from malignant neoplasms and other benign conditions
  • Potential for overlapping symptoms with other gynecological conditions

Audit Risk Factors

  • Inadequate documentation of the neoplasm type and characteristics
  • Failure to specify the location of the neoplasm within the uterus
  • Misclassification of benign neoplasms as malignant
  • Lack of follow-up documentation indicating ongoing management

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed descriptions of the neoplasm, imaging results, and treatment plans.

Common Clinical Scenarios

Management of symptomatic fibroids, follow-up after surgical removal of benign neoplasms.

Billing Considerations

Ensure clear differentiation between benign and malignant conditions, and document any relevant family history.

Radiology

Documentation Requirements

Imaging reports must clearly indicate the presence and characteristics of the neoplasm.

Common Clinical Scenarios

Ultrasound or MRI evaluations for suspected uterine neoplasms.

Billing Considerations

Radiologists should provide comprehensive reports that assist in clinical decision-making.

Coding Guidelines

Inclusion Criteria

Use D26.7 When
  • According to ICD
  • 10 guidelines, D26
  • 7 should be used when a benign neoplasm is confirmed in parts of the uterus not specified elsewhere
  • Coders must ensure that the diagnosis is supported by clinical documentation and imaging studies

Exclusion Criteria

Do NOT use D26.7 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58150CPT Code

Total abdominal hysterectomy

Clinical Scenario

Used when a patient with a benign neoplasm undergoes surgical removal of the uterus.

Documentation Requirements

Operative report detailing the procedure and indication for surgery.

Specialty Considerations

Gynecologists must ensure that the diagnosis supports the need for surgical intervention.

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 diagnoses and treatment tracking. D26.7 provides a distinct code for various benign neoplasms, facilitating better patient management and research.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of diagnoses and treatment tracking. D26.7 provides a distinct code for various benign neoplasms, facilitating better patient management and research.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of benign neoplasms, improving the accuracy of diagnoses and treatment tracking. D26.7 provides a distinct code for various benign neoplasms, facilitating better patient management and research.

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 types of neoplasms are included under D26.7?

D26.7 includes various benign neoplasms such as fibroids, adenomas, and other non-cancerous tumors located in parts of the uterus not specified elsewhere.