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v1.0.0
ICD-10 Guide
ICD-10 CodesN84.8

N84.8

Billable

Polyp of other parts of female genital tract

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

Code Description

ICD-10 N84.8 is a billable code used to indicate a diagnosis of polyp of other parts of female genital tract.

Key Diagnostic Point:

N84.8 refers to polyps located in various parts of the female genital tract that are not classified under more specific categories. These polyps can arise from the endometrium, cervix, or other areas, and may be associated with conditions such as endometriosis, which is characterized by the presence of endometrial-like tissue outside the uterus, leading to pain and potential fertility issues. Female genital prolapse, where pelvic organs descend due to weakened pelvic support structures, can also be linked to the formation of polyps. Fistulas, abnormal connections between organs, may occur in the context of pelvic inflammatory disease or surgical complications, potentially leading to polyp formation. Ovarian disorders, including cysts and tumors, can coexist with polyps, complicating the clinical picture. Accurate diagnosis often requires imaging studies and histological examination to differentiate polyps from other pathologies, such as malignancies. The management of polyps may involve surveillance, medical therapy, or surgical intervention, depending on symptoms and histological findings.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential locations within the female genital tract
  • Differentiation from other similar conditions (e.g., malignancies)
  • Need for histological confirmation in some cases
  • Potential association with multiple comorbidities

Audit Risk Factors

  • Insufficient documentation of polyp location
  • Lack of histological evidence for polyp diagnosis
  • Inadequate differentiation from malignancies
  • Failure to document associated conditions

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed descriptions of polyp characteristics, location, and associated symptoms are essential. Histopathology reports should be included when available.

Common Clinical Scenarios

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

Billing Considerations

Consideration of the patient's reproductive history and any previous surgeries is crucial for accurate coding.

Pathology

Documentation Requirements

Pathology reports must clearly indicate the type of polyp and any associated findings.

Common Clinical Scenarios

Histological examination of excised polyps, evaluation of biopsy samples from patients with abnormal bleeding.

Billing Considerations

Documentation should include the method of specimen collection and any relevant clinical history.

Coding Guidelines

Inclusion Criteria

Use N84.8 When
  • According to ICD
  • 10 guidelines, N84
  • 8 should be used when the polyp is not specified as being in the cervix or endometrium
  • Documentation must support the diagnosis, including the location and any associated symptoms

Exclusion Criteria

Do NOT use N84.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58120CPT Code

D&C (Dilation and Curettage)

Clinical Scenario

Used when a polyp is removed during a D&C procedure.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Gynecologists should ensure that the indication for the procedure is clearly documented.

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 polyps, improving the granularity of data for research and treatment outcomes. N84.8 provides a broader category for polyps not otherwise specified, which can help in capturing data on less common presentations.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like polyps, improving the granularity of data for research and treatment outcomes. N84.8 provides a broader category for polyps not otherwise specified, which can help in capturing data on less common presentations.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like polyps, improving the granularity of data for research and treatment outcomes. N84.8 provides a broader category for polyps not otherwise specified, which can help in capturing data on less common presentations.

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 associated with polyps of the female genital tract?

Common symptoms include abnormal uterine bleeding, pelvic pain, and, in some cases, infertility. However, many polyps are asymptomatic and may be discovered incidentally during routine examinations.