tci Part B Insider - 2009 Issue 38

READER QUESTION: Don't Code Fibroid Tumor Diagnosis Until You Pinpoint Location

Plus: Know the alternative terms that physicians use to describe the various types of tumors. Question: When our pathologist diagnoses uterine fibroid tumors, which ICD-9 code should we use on our claim? Answer: You should choose the appropriate diagnosis based on the fibroid tumor's location, as follows: • Submucous fibroids (218.0, Submucous leiomyoma of uterus) grow from the uterine wall toward the uterine cavity. They can also be referred to as "intracavitary fibroids." • Intramural fibroids (218.1, Intramural leiomyoma of uterus) grow within the uterine wall (myometrium). Some physicians may document this condition as "interstitial fibroids...

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