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2025 ICD-10-CM code N84.2

Polyp of the vagina; a benign growth on the vaginal wall.

Follow current ICD-10-CM coding guidelines for proper assignment.Accurate documentation is key to appropriate code selection.

Modifiers may be used with procedural codes when appropriate.

Medical necessity for diagnostic evaluation or treatment of a vaginal polyp depends on the presence of symptoms (e.g., vaginal bleeding, discharge, discomfort) or the size/number of polyps, the need for biopsy, or other related clinical findings.Documentation should justify the decision to evaluate or treat the condition.

The clinical responsibility depends on the clinical scenario.It could involve a gynecologist or other relevant medical professional who performs the physical examination, makes the diagnosis, and decides on the appropriate management.

IMPORTANT:May be associated with other codes depending on the clinical context (e.g., codes for related conditions or procedures performed).ICD-9-CM code 623.7 is the equivalent.

In simple words: This code describes a small, usually harmless growth found inside the vagina.It's not usually painful and often doesn't need treatment unless it becomes problematic.

N84.2, Polyp of vagina, is an ICD-10-CM code that classifies a benign, non-inflammatory growth (polyp) located on the vaginal wall.It is characterized by a small, usually asymptomatic, projection from the mucosal surface.The polyp may vary in size and number, and typically requires a physical examination for diagnosis.

Example 1: A 35-year-old woman presents for a routine gynecological examination. During the pelvic exam, a small polyp is discovered on the vaginal wall. The physician documents the finding as a polyp of the vagina and orders further investigation if the patient experiences symptoms., A 48-year-old woman reports vaginal bleeding.A colposcopy reveals a small polyp in the vagina. The polyp is removed during the procedure for pathological analysis., A 60-year-old woman complains of vaginal irritation.During a gynecological examination, multiple small polyps are found in the vagina.Conservative management is chosen with close follow-up.

Complete documentation should include the patient's history, physical examination findings (including location, size, and number of polyps), any related symptoms, diagnostic imaging (if performed), and details of any procedures performed (e.g., polyp removal, biopsy).

** This code should only be used when a polyp is definitively identified in the vagina.If the location of the polyp is uncertain or in another part of the female genital tract, the appropriate code from the N84 series should be used.

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