Find comprehensive information on Polyp of Corpus Uteri including clinical documentation, medical coding, ICD-10 codes D281 and N840, SNOMED CT, diagnosis codes, endometrial polyp, uterine polyp, and polyp treatment. Learn about healthcare guidelines for diagnosis, workup, and management of Corpus Uteri Polyps. This resource provides essential information for physicians, nurses, medical coders, and other healthcare professionals.
Also known as
Polyp of female genital tract
Codes for polyps in uterus, cervix, vagina, and vulva.
Leiomyoma of uterus
Benign smooth muscle tumors (fibroids) in the uterus.
Other benign tumors of uterus
Includes benign uterine tumors not classified elsewhere.
Personal history of uterine polyps
Indicates a past diagnosis of uterine polyps, now resolved or removed.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the polyp of corpus uteri specified as endometrial?
Yes
Is it pedunculated?
No
Is it adenomatous?
When to use each related code
| Description |
|---|
| Endometrial polyp |
| Endometrial hyperplasia |
| Submucosal fibroid |
Coding discrepancies arise from unspecified polyp behavior (benign vs. premalignant/malignant), impacting DRG assignment and reimbursement.
Inadequate documentation of polyp size or specific uterine location (endometrial vs. endocervical) can lead to inaccurate coding and staging.
Discrepancies between clinical diagnosis and pathology findings may cause coding errors affecting quality reporting and clinical documentation integrity.
Patient presents with abnormal uterine bleeding, specifically [characterize bleeding: e.g., menometrorrhagia, postmenopausal bleeding, intermenstrual bleeding]. Endometrial polyp is suspected. Relevant history includes [mention relevant medical history, e.g., nulliparity, obesity, hypertension, tamoxifen use, PCOS]. Pelvic examination revealed [describe findings, e.g., normal-sized uterus, no adnexal masses]. Transvaginal ultrasound demonstrates an endometrial thickening or intrauterine mass suggestive of an endometrial polyp measuring [size] mm. Differential diagnosis includes endometrial hyperplasia, endometrial carcinoma, and submucosal fibroids. Plan is for [diagnostic procedure, e.g., hysteroscopy with polypectomy, endometrial biopsy] to confirm diagnosis and assess for endometrial pathology. Patient education provided regarding endometrial polyps, uterine bleeding, procedure risks and benefits, and potential complications. Follow-up scheduled for [timeframe] to review pathology results and discuss further management, including hormonal therapy if indicated. ICD-10 code N84.0, endometrial polyp, is assigned. Procedure codes will be determined based on the specific intervention performed. Medical necessity for the procedure is documented based on the patient's symptoms and ultrasound findings.