ICD Code D25.9

ICD code D25.9 is used to classify a condition known as an unspecified leiomyoma of the uterus. This code is applied when a patient has a benign tumor, commonly referred to as a fibroid, in the uterus, but the specific type or location of the fibroid within the uterus is not detailed in the medical documentation. This code helps healthcare providers and billing professionals accurately record and manage cases involving uterine fibroids when further specification is not available.

1. Abnormal Uterine Bleeding: Persistent or irregular menstrual bleeding that deviates from the patient's normal cycle, including heavy menstrual bleeding (menorrhagia) or bleeding between periods (metrorrhagia).

2. Pelvic Pain: Chronic or acute pain localized in the pelvic region, which may be associated with the menstrual cycle or occur independently.

3. Pelvic Pressure or Fullness: A sensation of heaviness or pressure in the pelvic area, which may be accompanied by an increase in abdominal girth.

4. Urinary Symptoms: Increased frequency of urination, urgency, or difficulty emptying the bladder completely, often due to pressure on the bladder.

5. Reproductive Challenges: Infertility or recurrent pregnancy loss, potentially linked to structural changes in the uterus.

6. Constipation or Bowel Discomfort: Difficulty with bowel movements or a sensation of incomplete evacuation, possibly due to pressure on the rectum.

7. Palpable Mass: Detection of a mass during a pelvic examination, which may be confirmed through imaging studies such as ultrasound or MRI.

8. Asymptomatic Findings: Incidental discovery of a uterine mass during imaging or surgical procedures conducted for other reasons, without the presence of symptoms.

For the ICD code D25.9, which pertains to Leiomyoma of uterus, unspecified, the relevant CPT codes that may be applicable for treatment include:

1. 58140 - Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myomas with total weight of 250 grams or less and/or removal of surface myomas; abdominal approach.

2. 58145 - Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 grams; abdominal approach.

3. 58545 - Laparoscopy, surgical, myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myomas with total weight of 250 grams or less and/or removal of surface myomas.

4. 58546 - Laparoscopy, surgical, myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 grams.

5. 58150 - Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s).

6. 58570 - Laparoscopy, surgical, with total hysterectomy, for uterus 250 grams or less.

7. 58571 - Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 grams.

8. 58573 - Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 grams, with removal of tube(s) and/or ovary(s).

These CPT codes are commonly associated with the surgical treatment options for the condition indicated by ICD code D25.9. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical details of the case.

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