Benign neoplasm of vagina
ICD-10 D28.1 is a billable code used to indicate a diagnosis of benign neoplasm of vagina.
Benign neoplasms of the vagina are non-cancerous growths that can arise from various tissues within the vaginal wall. These neoplasms may include fibromas, lipomas, and other soft tissue tumors. Clinically, they can present as asymptomatic masses or may cause symptoms such as vaginal bleeding, discharge, or discomfort during intercourse. Diagnosis is typically made through pelvic examination, imaging studies such as ultrasound or MRI, and sometimes biopsy to rule out malignancy. Management often involves monitoring for changes in size or symptoms, and surgical excision may be indicated if the neoplasm causes significant symptoms or if there is uncertainty regarding its nature. Follow-up care is essential to ensure that the neoplasm does not recur and to monitor for any potential complications. Regular gynecological examinations are recommended for early detection of any changes in the neoplasm's characteristics.
Detailed documentation of the neoplasm's characteristics, including size, location, and any symptoms experienced by the patient.
Patients presenting with vaginal masses, abnormal bleeding, or pelvic pain.
Ensure that all imaging and biopsy results are included in the medical record to support the diagnosis.
Pathology reports must clearly indicate the benign nature of the neoplasm and any relevant histological findings.
Biopsy specimens from vaginal masses sent for histological evaluation.
Accurate coding requires correlation between clinical findings and pathology results.
Performed when a benign neoplasm requires surgical intervention.
Operative report detailing the indication for surgery and findings.
Gynecologists must ensure that the diagnosis aligns with the surgical procedure performed.
Common symptoms may include vaginal bleeding, discharge, or discomfort during intercourse. However, many cases are asymptomatic and discovered incidentally during routine examinations.
