2025 ICD-10-CM code N84.1
(Active) Effective Date: N/A Revision Date: N/A Diseases of the genitourinary system - Noninflammatory disorders of female genital tract Diseases of the genitourinary system (N00-N99) Feed
Polyp of the cervix uteri.
Medical necessity for the diagnosis and treatment of a cervical polyp is established by the presence of symptoms (such as abnormal uterine bleeding), findings on physical examination, and confirmation via colposcopy and biopsy. The procedure is medically necessary to rule out malignancy and to manage symptoms.
The clinical responsibility for coding N84.1 rests with the physician or qualified healthcare professional who performs the examination and diagnosis.This includes performing a physical exam, potentially colposcopy, and biopsy to confirm the diagnosis and rule out malignancy.
In simple words: This code describes a non-cancerous growth (a polyp) found on the cervix, the lower part of the uterus.It's usually discovered during a routine gynecological exam.
N84.1, Polyp of cervix uteri, is an ICD-10-CM code that classifies a benign growth or mass protruding from the surface of the cervix.It is categorized under noninflammatory disorders of the female genital tract. The polyp may be composed of various tissues, and its size and number can vary. Diagnosis is typically made via visual examination (colposcopy) and may be confirmed via biopsy.
Example 1: A 35-year-old female patient presents for a routine gynecological exam. During the pelvic exam, the physician observes a small, pedunculated polyp on the cervix. A colposcopy is performed, and a biopsy is taken, confirming the diagnosis of a cervical polyp., A 48-year-old female patient complains of intermenstrual bleeding.A pelvic exam reveals a large, friable polyp on the cervix.A colposcopic examination is performed, and a biopsy is taken to rule out malignancy. The pathology report confirms a benign cervical polyp., A 60-year-old post-menopausal woman experiences post-menopausal bleeding.An examination shows a cervical polyp.A biopsy is performed to exclude endometrial cancer or other underlying pathology, and the results indicate a benign cervical polyp.
Complete history and physical examination notes, including the patient's symptoms and findings from the pelvic exam.Detailed documentation of any imaging studies (such as colposcopy) and the results of the biopsy, including the microscopic description of the polyp's tissue.The final pathology report confirming the diagnosis of a benign cervical polyp and excluding malignancy.
** While most cervical polyps are benign,it is crucial to exclude malignant lesions. Therefore, biopsy is often necessary for definitive diagnosis and management.The size and number of polyps may impact clinical management decisions.This code should be used only when the polyp is located exclusively on the cervix; other locations require different codes within the N84 range.
- Payment Status: Active
- Specialties:Gynecology, Obstetrics
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center