Diagnosing Fibroids

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Coders: Train Eyes on Fibroid Diagnosis

Figure out why you should report the pathology exam of uterus with leiomyomas as 88307.

Question: When the pathologist diagnoses uterine fibroid tumors, what ICD-9 code should we go for?

Answer: You should select the fibroid diagnosis based on the fibroid’s location:


Also called intracavitary fibroids, Submucous fibroids (218.0, Submucous leiomyoma of uterus) grow from the uterine wall in the direction of the uterine cavity. a Also called interstitial fibroids, Intramural fibroids (218.1, Intramural leiomyoma of uterus) grow within the uterine wall (myometrium). a Also called subperitoneal fibroids, Subserous fibroids (218.2, Subserous leiomyoma of uterus) grow outward from the uterine wall toward the abdominal cavity. a If the doctor doesn’t specify the uterine fibroid’s location, go for 218.9 (Leiomyoma of uterus, unspecified) as the diagnosis. CPT alert: You should report the pathology exam of uterus with leiomyomas as 88307 (Level V a” Surgical pathology, gross and microscopic examination, uterus, with or minus tubes and ovaries, other than neoplastic/prolapse). Even though ICD-9 classifies leiomyoma as a benign neoplasm, a coding convention supported by the American Medical Association (AMA) and the College of American pathologists dictates that you report this condition as 88307, not 88309 (Level VI a” Surgical pathology, gross and microscopic examination, suterus, with or without tubes and ovaries, neoplastic). For myomectomy specimens – fibroid tumors that the surgeon removes while leaving the uterus intact – you should bill the pathology exam as 88305 (Level IV a” Surgical pathology, gross and microscopic examination, leiomyoma[s], uterine myomectomy a” minus uterus). Sign up for newsletters and stay informed.

When the Pathologist diagnoses uterine fibroid tumors you should select the fibroid diagnosis. So Sign up for newsletters and stay informed.

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Source: http://www.articlesbase.com/health-articles/coders-train-eyes-on-fibroid-diagnosis-2576586.html

Frequently Asked Questions

    Diagnosing Fibroids?
    I had an internal scan a couple of weeks ago on my pelvic area following other symptoms.

    I have now been asked to go and see my Doctor as my results are back.

    I was wondering how a radiographer who does the scan can tell if a tumour is fibroids or if it is cancerous?

    • ANSWER:
      Ultrasound for many conditions, fibroids, testicular lesions, ovarian cysts, most gall bladder conditions etc. is definitively diagnostic.

    How long does it take fibroids to shrink after menopause?
    About a year ago, I was diagnosed with fibroids. Now that my course of menopause is about over, when will the fibroids begin to shrink?

    • ANSWER:
      It could happen over the course of a few months (an example only), but I am going to include the link to a site that may help you find more information until you can check with your doctor.

      The link is at:


    Why would a woman with fibroids with no symptoms have to have a hysterectomy?
    I know a girl that was diagnosed with fibroids about 10 yrs ago. She has no symptoms except she says she can not have kids because her uterus is out of shape due to the fibroids. She also says that her doctor told her she needed a hystercetomy but she talked him out of it. She was in her mid-30s when diagnosed. I thought you could still have kids with fibroids unless you were having really bad symptoms.

    • ANSWER:
      Obviously she was having really bad symptoms if her uterus is out of shape.

      The doctor probably wanted to do a hysterectomy as a preventative measure. Of course it is always the patient’s choice. But her fibroids might grow even more and she might have to have the hysterectomy in the future.

    What are the symptoms of uterine fibroids?
    There are three people has been diagnosed by uterine fibroids in my family. I’m afraid if I will have it. So I want to know something about the disease and the symptoms of it. Thanks in advance.

    • ANSWER:
      How do you know if you have uterine fibroids? Probably you do not know. Most fibroids do not cause any symptoms and do not require treatment other than regular observation by a physician. Fibroids may be discovered during routine gynecologic examination or during prenatal care. Some women who have uterine fibroids may experience symptoms such as excessive or painful bleeding during menstruation, bleeding between periods, a feeling of fullness in the lower abdomen, frequent urination resulting from a fibroid that compresses the bladder, pain during sexual intercourse, or low back pain. Although reproductive symptoms such as infertility, recurrent spontaneous abortion, and early onset of labor during pregnancy have been attributed to fibroids to any of these symptoms. In rare cases, a fibroid can compress and block the fallopian tube, preventing fertilization and migration of the ovum. After surgical removal of the fibroid, fertility is generally restored.

    How to treat uterine fibroids naturally?
    I have been diagnosed by uterine fibroids. My doctor recommends a surgery, but I don’t like this opinion. I’m looking for alternatives and need some help.

    • ANSWER:
      My sister’s condition is similar to yours. She used to have uterine fibroids few years ago. Her doctor also recommended a hysterectomy and she didn’t accept it. She tried a Chinese herbal meidicine called Hysteromyoma Plaster and it really work very well for her. You can go to http://nobleherb.com/goods-19.html for more details. Wish you better soon.

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