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v1.0.0
ICD-10 Guide
ICD-10 CodesN84.1

N84.1

Billable

Polyp of cervix uteri

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

Code Description

ICD-10 N84.1 is a billable code used to indicate a diagnosis of polyp of cervix uteri.

Key Diagnostic Point:

A polyp of the cervix uteri is a benign growth that arises from the cervical epithelium. These polyps can vary in size and may be pedunculated or sessile. They are often asymptomatic but can cause abnormal vaginal bleeding, particularly after intercourse or between menstrual periods. The exact etiology of cervical polyps is not fully understood, but they are thought to be related to chronic inflammation, hormonal factors, or vascular proliferation. In some cases, they may be associated with other gynecological conditions such as endometriosis or fibroids. Diagnosis is typically made through pelvic examination and may be confirmed via cervical biopsy. Treatment often involves removal, especially if the polyp is symptomatic or there is concern for malignancy. Regular monitoring and follow-up are recommended to ensure that new polyps do not develop.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between benign and malignant polyps
  • Variability in symptoms and presentation
  • Potential association with other gynecological conditions
  • Need for biopsy and histological examination

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed description of the polyp, including size, type, and any associated symptoms.

Common Clinical Scenarios

Routine gynecological exams revealing cervical polyps, post-menopausal bleeding, or abnormal Pap smear results.

Billing Considerations

Ensure that all relevant diagnostic tests and procedures are documented, including biopsies and follow-up care.

Pathology

Documentation Requirements

Histological findings and any relevant clinical history.

Common Clinical Scenarios

Biopsy specimens sent for evaluation after polyp removal.

Billing Considerations

Accurate coding of findings is essential to differentiate between benign and malignant lesions.

Coding Guidelines

Inclusion Criteria

Use N84.1 When
  • According to ICD
  • 10 guidelines, N84
  • 1 should be used when a polyp of the cervix uteri is diagnosed
  • It is important to document the size, type, and any symptoms associated with the polyp

Exclusion Criteria

Do NOT use N84.1 When
  • Exclusion criteria include malignant conditions of the cervix

Related ICD-10 Codes

Related CPT Codes

57500CPT Code

Excision of cervical polyp

Clinical Scenario

Performed when a cervical polyp is identified during examination.

Documentation Requirements

Document the size, type, and any symptoms associated with the polyp.

Specialty Considerations

Ensure that the procedure is linked to the diagnosis of cervical polyp.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of cervical polyps, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cervical polyps, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 cervical polyps?

Common symptoms include abnormal vaginal bleeding, especially after intercourse or between periods, and increased vaginal discharge. However, many women may be asymptomatic.