Neoplasm of uncertain behavior of uterus
ICD-10 D39.0 is a billable code used to indicate a diagnosis of neoplasm of uncertain behavior of uterus.
D39.0 refers to a neoplasm of uncertain behavior located in the uterus. This classification is used when the neoplasm's potential for malignancy cannot be definitively determined based on histological examination. Neoplasms of uncertain behavior may include atypical hyperplasia or other lesions that do not meet the criteria for benign or malignant tumors. These neoplasms can present with various symptoms, including abnormal uterine bleeding, pelvic pain, or may be asymptomatic and discovered incidentally during imaging or surgical procedures. Surveillance is crucial for these patients, as there is a potential for progression to malignancy, necessitating regular follow-up and monitoring. The management may involve a multidisciplinary approach, including gynecologists, oncologists, and pathologists, to ensure appropriate treatment and monitoring strategies are in place. The uncertainty surrounding these neoplasms underscores the importance of thorough documentation and clinical evaluation to guide treatment decisions and coding accuracy.
Detailed pathology reports, imaging results, and clinical notes regarding symptoms and follow-up plans.
Patients presenting with abnormal uterine bleeding or pelvic masses requiring further evaluation.
Ensure that the behavior of the neoplasm is clearly documented to support the use of D39.0.
Comprehensive treatment plans, including any surgical interventions and ongoing surveillance strategies.
Management of patients with neoplasms of uncertain behavior who may require further intervention or monitoring.
Collaboration with pathology to ensure accurate classification of neoplasm behavior.
Used when a patient with a neoplasm of uncertain behavior undergoes surgical intervention.
Operative reports detailing the procedure and findings.
Ensure that the indication for surgery is clearly linked to the diagnosis of D39.0.
It refers to a growth in the uterus that cannot be definitively classified as benign or malignant based on current medical knowledge and histological examination.
