2025 ICD-10-CM code N88.4
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the genitourinary system - Noninflammatory disorders of female genital tract (N80-N98) Diseases of the genitourinary system (N00-N99) Feed
Hypertrophic elongation of the cervix uteri.
Not applicable to ICD-10 codes.
Medical necessity would be established by the presence of symptoms (e.g., pelvic pressure, prolapse, urinary or bowel dysfunction) directly related to the hypertrophic cervical elongation.The physician's documentation should clearly link the patient's symptoms to the diagnosis and justify the need for any proposed intervention.
The clinical responsibility for managing N88.4 would depend on the specific clinical context, but likely involves a gynecologist or other qualified healthcare professional.This may involve a physical exam, imaging studies, and consideration of treatment options depending on the severity and associated symptoms.
In simple words: Hypertrophic elongation of the cervix means the cervix (the lower part of the uterus) is abnormally long and enlarged. This can sometimes lead to problems like prolapse (where the uterus or vagina slips down).
N88.4, Hypertrophic elongation of the cervix uteri, refers to a noninflammatory condition characterized by an excessive increase in the length of the cervix.This elongation can be a predisposing factor for pelvic organ prolapse or a consequence of downward traction from prolapse.The condition may be associated with increased estrogen and progesterone receptor levels in the cervical tissue.
Example 1: A 45-year-old female patient presents with symptoms of pelvic pressure and vaginal bulging.Pelvic exam reveals hypertrophic elongation of the cervix. This may be managed conservatively with pelvic floor exercises or surgically with cervical suspension or hysterectomy., A 60-year-old postmenopausal woman has undergone a pelvic ultrasound which reveals significant hypertrophic cervical elongation.The physician documents this finding as a possible contributing factor to her urinary incontinence., A pregnant patient presents with cervical prolapse and cervical elongation. The physician documents N88.4 to describe the cervical abnormality and will monitor this closely throughout the pregnancy. In severe cases, a pessary may be considered to prevent preterm labor.
Documentation should include a detailed description of the patient's symptoms, physical examination findings, and relevant imaging studies (e.g., pelvic ultrasound, MRI).If a surgical procedure is performed, the operative report should accurately describe the surgical approach and findings.
** Hypertrophic elongation of the cervix uteri is often associated with pelvic organ prolapse.Accurate documentation is crucial for appropriate coding and reimbursement.
- Revenue Code: Revenue codes will depend on the specific services provided and the payer.Examples might include codes associated with gynecological examinations or surgical procedures.
- RVU: RVUs are not directly associated with ICD-10 codes.Reimbursement depends on the procedures performed and other factors.
- Global Days: Not applicable to this ICD-10 code.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.
- Specialties:Obstetrics and Gynecology
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center