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v1.0.0
ICD-10 Guide
ICD-10 CodesN84.0

N84.0

Billable

Polyp of corpus uteri

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

Code Description

ICD-10 N84.0 is a billable code used to indicate a diagnosis of polyp of corpus uteri.

Key Diagnostic Point:

A polyp of the corpus uteri is a benign growth that arises from the endometrial lining of the uterus. These polyps can vary in size and number and are often asymptomatic, although they may cause abnormal uterine bleeding, particularly in premenopausal and postmenopausal women. The exact etiology of endometrial polyps is not fully understood, but they are thought to be influenced by hormonal factors, particularly estrogen. In some cases, polyps may be associated with conditions such as endometriosis, where endometrial-like tissue grows outside the uterus, or with other uterine abnormalities. Diagnosis is typically made through imaging studies such as ultrasound or hysteroscopy, which allows for direct visualization and potential biopsy of the polyp. Treatment options may include monitoring, hormonal therapy, or surgical removal, especially if the polyps are symptomatic or there is concern for malignancy. Understanding the implications of polyps in the context of other gynecological conditions, such as female genital prolapse or ovarian disorders, is crucial for comprehensive patient management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of polyps (e.g., endometrial vs. cervical)
  • Understanding associated conditions like endometriosis and their implications
  • Variability in symptoms and presentation among patients
  • Need for precise documentation of size, number, and symptoms

Audit Risk Factors

  • Inadequate documentation of polyp characteristics
  • Failure to document associated symptoms or conditions
  • Misclassification of polyp type
  • Lack of follow-up documentation post-treatment

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed descriptions of polyp characteristics, associated symptoms, and treatment plans.

Common Clinical Scenarios

Patients presenting with abnormal uterine bleeding, pelvic pain, or during routine gynecological exams.

Billing Considerations

Ensure accurate documentation of any imaging studies or procedures performed, as well as follow-up care.

Pathology

Documentation Requirements

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

Common Clinical Scenarios

Evaluation of biopsy specimens from patients with diagnosed polyps.

Billing Considerations

Clear communication between gynecologists and pathologists regarding the clinical context of findings.

Coding Guidelines

Inclusion Criteria

Use N84.0 When
  • According to ICD
  • 10 guidelines, N84
  • 0 should be used when a polyp of the corpus uteri is confirmed through imaging or biopsy
  • It is important to document the size, number, and any associated symptoms

Exclusion Criteria

Do NOT use N84.0 When
  • Exclusion criteria include malignant conditions or other specific uterine pathologies

Related ICD-10 Codes

Related CPT Codes

58558CPT Code

Hysteroscopy, diagnostic, with or without biopsy

Clinical Scenario

Used when a polyp is suspected and requires direct visualization.

Documentation Requirements

Document indication for hysteroscopy, findings, and any interventions performed.

Specialty Considerations

Gynecologists should ensure clear documentation of the procedure and findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like endometrial polyps, improving data accuracy and facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like endometrial polyps, improving data accuracy and facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like endometrial polyps, improving data accuracy and facilitating better patient management.

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 a polyp of the corpus uteri?

Common symptoms include abnormal uterine bleeding, pelvic pain, and in some cases, infertility. However, many women may be asymptomatic.

How are endometrial polyps diagnosed?

Endometrial polyps are typically diagnosed through imaging studies such as transvaginal ultrasound or hysteroscopy, which allows for direct visualization and potential biopsy.