ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 14: Diseases of the genitourinary systemN84

N84

Billable

Polyp of female genital tract

Chapter 14:Diseases of the genitourinary system

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N84 is a billable code used to indicate a diagnosis of polyp of female genital tract.

Key Diagnostic Point:

Polyp of the female genital tract refers to abnormal growths that can occur in various parts of the female reproductive system, including the cervix, uterus, and vagina. These polyps are typically benign but can cause symptoms such as abnormal bleeding, pelvic pain, or discomfort during intercourse. They may be associated with hormonal imbalances, chronic inflammation, or other underlying conditions. In some cases, polyps can be linked to endometriosis, where tissue similar to the lining of the uterus grows outside of it, leading to the formation of polyps. Female genital prolapse, characterized by the descent of pelvic organs, can also complicate the presentation of polyps. Additionally, fistulas, which are abnormal connections between organs, may arise in the context of pelvic pathology. Ovarian disorders, such as polycystic ovary syndrome (PCOS), can coexist with polyps, complicating the clinical picture. Accurate diagnosis often requires imaging studies and histological examination, particularly if malignancy is suspected. Treatment typically involves monitoring, hormonal therapy, or surgical removal, depending on the size, symptoms, and associated risks.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between benign and malignant polyps
  • Co-occurrence with other gynecological conditions
  • Variability in clinical presentation and symptoms
  • Need for histological confirmation in some cases

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to specify the type of polyp
  • Misclassification of polyps as malignant without proper evidence
  • Inconsistent coding of coexisting conditions

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed descriptions of polyp characteristics, associated symptoms, and any imaging or biopsy results.

Common Clinical Scenarios

Routine gynecological exams revealing polyps, patients presenting with abnormal uterine bleeding, or pelvic pain.

Billing Considerations

Ensure clear documentation of the polyp's size, location, and any associated conditions to support coding.

Pathology

Documentation Requirements

Histopathological reports detailing the nature of the polyp and any signs of dysplasia or malignancy.

Common Clinical Scenarios

Biopsy specimens sent for evaluation after polyp removal, or during diagnostic procedures for abnormal bleeding.

Billing Considerations

Accurate coding of findings is crucial for determining the appropriate follow-up and treatment.

Coding Guidelines

Inclusion Criteria

Use N84 When
  • According to the official coding guidelines, N84 should be used when a polyp is identified in the female genital tract
  • Coders must ensure that the diagnosis is supported by clinical documentation, including the type of polyp and any associated symptoms

Exclusion Criteria

Do NOT use N84 When
  • Exclusion criteria include conditions that are not classified as polyps

Related CPT Codes

58120CPT Code

Endometrial biopsy

Clinical Scenario

Used when a polyp is suspected during examination.

Documentation Requirements

Indicate the reason for the biopsy and findings.

Specialty Considerations

Gynecologists should document the indication for the procedure clearly.

58558CPT Code

Hysteroscopy, diagnostic

Clinical Scenario

Performed to visualize and possibly remove polyps.

Documentation Requirements

Document findings and any interventions performed.

Specialty Considerations

Ensure clear documentation of the procedure and any complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of polyps, improving the accuracy of data collection and reimbursement processes. The granularity of ICD-10 codes helps in better tracking of conditions and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of polyps, improving the accuracy of data collection and reimbursement processes. The granularity of ICD-10 codes helps in better tracking of conditions and outcomes.

Reimbursement & Billing Impact

reimbursement processes. The granularity of ICD-10 codes helps in better tracking of conditions and outcomes.

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 polyps in the female genital tract?

Common symptoms include abnormal uterine bleeding, pelvic pain, and discomfort during intercourse. Some women may be asymptomatic.

How are polyps diagnosed?

Polyps are typically diagnosed through pelvic examinations, imaging studies like ultrasound, and confirmed via histological evaluation after removal.

What is the treatment for polyps?

Treatment options may include monitoring, hormonal therapy, or surgical removal, depending on the size and symptoms associated with the polyp.