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2025 ICD-10-CM code N84.0

This code classifies a polyp located in the corpus uteri (body of the uterus).

Adhere to the official ICD-10-CM coding guidelines published by the Centers for Medicare & Medicaid Services (CMS).Precise documentation of the polyp's location within the uterus is crucial for accurate coding. Use of this code should be consistent with the findings.

The medical necessity for coding N84.0 is established by appropriate clinical findings indicating the presence of a uterine polyp.Abnormal uterine bleeding, pelvic pain, or infertility may warrant further investigation and justify the diagnostic procedures leading to the code assignment.

The clinical responsibility for coding N84.0 rests with the physician or qualified healthcare professional who performs the diagnostic procedure (e.g., colposcopy, hysteroscopy, biopsy) to identify and confirm the presence of the uterine polyp.

IMPORTANT:Related codes include N84.1 (Polyp of cervix uteri), N84.2 (Polyp of vagina), N84.3 (Polyp of vulva), N84.8 (Polyp of other parts of female genital tract), and N84.9 (Polyp of female genital tract, unspecified).Excludes1 notes specify that this code should not be used for adenomatous polyps (D28.-) or placental polyps (O90.89).

In simple words: This code describes a non-cancerous growth (a polyp) found in the main part of the uterus (the corpus uteri). It's important for doctors to precisely identify the location of the polyp to ensure accurate billing.

N84.0, Polyp of corpus uteri, is an ICD-10-CM code used to classify a benign growth (polyp) found in the body of the uterus.This code is part of the broader category of noninflammatory disorders of the female genital tract.It is essential to differentiate this from other types of uterine polyps or growths, such as those originating in the cervix or elsewhere in the genital tract.Accurate documentation specifying the location as the corpus uteri is crucial for proper coding.

Example 1: A 45-year-old female patient presents with abnormal uterine bleeding.A hysteroscopy reveals a polyp in the corpus uteri. A biopsy confirms it is benign. Code N84.0 is assigned., A 38-year-old woman undergoes a routine pelvic exam which reveals a suspected polyp.Further imaging confirms a polyp in the corpus uteri and it is removed surgically (polypectomy).Code N84.0 is appropriate., During a post-partum exam, a 28-year-old patient is found to have a small polyp in the corpus uteri.This is documented as an incidental finding.N84.0 is applied.

Complete medical record documentation is required, including the patient's history, physical examination findings, imaging reports (e.g., ultrasound, MRI), and pathology reports confirming the diagnosis and location (corpus uteri) of the polyp.Surgical reports, if applicable, should also be reviewed.The diagnosis should be explicitly stated in the physician's notes.

** This code is used only for benign polyps. Malignant polyps would require separate coding for the malignancy.Always cross-reference with other codes and documentation to assure clinical accuracy.

  • Payment Status: Active
  • Specialties:Obstetrics and Gynecology
  • Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center
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