2025 ICD-10-CM code D28
(Valid) Effective Date: N/A Benign neoplasms - Benign neoplasm of other and unspecified female genital organs Chapter II: Neoplasms (C00-D48) Feed
Non-cancerous growth in the female genital organs not otherwise specified. Includes: adenomatous polyp, benign skin neoplasm, and benign teratoma. Excludes certain cysts (epoophoron, fimbrial, Gartner's duct, parovarian).
Medical necessity is determined by the clinical impact of the benign neoplasm.Symptomatic growths that cause pain, bleeding, or interfere with normal function are generally considered medically necessary to treat.Asymptomatic growths may be monitored unless they pose a risk of future complications.
Diagnosis and management are typically overseen by gynecologists or other specialists in women's health.Evaluation may involve pelvic examination, imaging studies (ultrasound, CT, MRI), and/or biopsy. Treatment decisions depend on factors such as the size and location of the neoplasm, the presence of symptoms, and the patient's overall health. Options range from observation to surgical removal.
In simple words: This code refers to a non-cancerous lump or growth in a woman's reproductive organs, like the vulva, vagina, or fallopian tubes, that isn't a cyst. It could be things like a polyp, a skin growth, or a teratoma.
Benign neoplasm of other and unspecified female genital organs encompasses non-cancerous growths that occur in various parts of the female reproductive system that are not specifically classified elsewhere.This includes growths like adenomatous polyps (originating from glandular tissue), benign neoplasms of the skin affecting the genital area, and benign teratomas (tumors derived from multiple germ layers and potentially containing various tissues like teeth, hair, or skin). The code specifically excludes cysts related to epoophoron, fimbriae, Gartner's duct, and parovarian structures.
Example 1: A patient presents with pelvic pain and abnormal bleeding.A pelvic exam and ultrasound reveal a benign fibroid in the uterus.As the fibroid is causing symptoms, surgical removal is considered., During a routine gynecological checkup, a small, asymptomatic polyp is discovered on the cervix. The physician recommends monitoring the polyp for changes., A patient experiences discomfort during intercourse.Examination reveals a benign growth on the vulva.A biopsy confirms the diagnosis, and the growth is surgically excised.
Documentation should include details of the patient's presenting symptoms, findings from the physical examination, results of imaging or laboratory studies, and the physician's assessment and plan for management.
- Specialties:Gynecology, Obstetrics, General Surgery, Oncology
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital, Ambulatory Surgical Center