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2025 ICD-10-CM code D28.2

Benign neoplasm of the uterine tubes and ligaments; a noncancerous growth in these structures.

Follow standard ICD-10-CM coding guidelines for neoplasms.Use the most specific code possible based on available documentation.If a neoplasm overlaps multiple sites, use the .8 code unless otherwise specified.

Medical necessity for treatment of D28.2 is established based on the presence of symptoms impacting the patient's quality of life, such as pain or pressure.Asymptomatic findings may not require treatment, but regular monitoring may be necessary.

Gynecologists, general surgeons, and other relevant specialists may be responsible for the diagnosis and treatment of D28.2.Their responsibilities include conducting thorough history taking, physical examinations, ordering and interpreting imaging studies, making a diagnosis, discussing treatment options, and performing surgical procedures when necessary.

IMPORTANT:D28.2 includes adenomatous polyp, benign neoplasm of the skin of female genital organs, and benign teratoma. It excludes epoophoron cyst (Q50.5), fimbrial cyst (Q50.4), Gartner's duct cyst (Q52.4), parovarian cyst (Q50.5).

In simple words: This code means a non-cancerous growth (a benign tumor) is found in the fallopian tubes or ligaments that support the uterus.These tubes carry eggs from the ovaries to the uterus.The growth isn't harmful and may not cause symptoms, but sometimes it can cause pain or other problems. A doctor will use tests like ultrasounds to find it and may need to remove it surgically if it's causing problems.

D28.2, Benign neoplasm of uterine tubes and ligaments, refers to a noncancerous mass or growth of abnormal cells within the fallopian tubes or ligaments of the uterus.These growths are not capable of metastasizing (spreading to other parts of the body).Types include adenomas, fibromas, and benign teratomas.Symptoms can include pelvic heaviness, pain, painful intercourse, urinary issues, and constipation. Diagnosis involves patient history, physical exam, and imaging (ultrasound, CT, MRI). Treatment may involve surgical removal, depending on the severity and symptoms.

Example 1: A 35-year-old female presents with chronic pelvic pain.Imaging reveals a small, benign fibroma in her left fallopian tube. Code D28.2 is assigned., A 40-year-old woman undergoes a routine gynecological exam which reveals a small, asymptomatic adenoma in her right uterine ligament.No treatment is indicated. Code D28.2 is assigned., A 50-year-old female experiences increased pelvic pressure and pain during intercourse.Imaging confirms a benign teratoma in one of her fallopian tubes. The teratoma is surgically removed. Code D28.2 is assigned.

Complete patient history including symptoms, physical examination findings, and results of all relevant imaging studies (ultrasound, CT scan, MRI) are required.Pathology reports, if surgical removal is performed, should also be documented.

** The code D28.2 is used for benign tumors in the fallopian tubes and uterine ligaments only; other benign tumors of the female genital organs have different codes.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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