ICD-10 Coding for Fibroma(D25.0, D21.9, D22.0)
Complete ICD-10-CM coding and documentation guide for Fibroma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fibroma
D25.0-D25.9Primary Range
Leiomyoma of uterus
This range covers uterine fibroids, which are a common type of fibroma.
Benign neoplasm of connective and other soft tissue, unspecified
This code is used for fibromas in soft tissue without specific site identification.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| D25.0 | Submucous leiomyoma of uterus | Use when a submucosal fibroid is confirmed by imaging. |
|
| D21.9 | Benign neoplasm of connective and other soft tissue, unspecified | Use when a fibroma is identified in soft tissue without a specific site. |
|
| D22.0 | Melanocytic nevi of lip | Use for dermatofibromas confirmed by biopsy on the lip. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for fibroma
Essential facts and insights about Fibroma
Primary ICD-10-CM Codes for fibrom
Decision Criteria
clinical Criteria
- Presence of submucosal fibroid confirmed by imaging
Applicable To
- Submucosal fibroid
Excludes
- Malignant neoplasm of uterus
Clinical Validation Requirements
- Confirmed by transvaginal ultrasound
- Symptoms of heavy menstrual bleeding
Code-Specific Risks
- Misclassification if not confirmed by imaging
Coding Notes
- Ensure imaging confirms submucosal location before coding.
D21.9 - Benign neoplasm of connective and other soft tissue, unspecified
Use when a fibroma is identified in soft tissue without a specific site.
Applicable To
- Soft tissue fibroma
Excludes
- Malignant neoplasm of connective tissue
Clinical Validation Requirements
- Histopathology confirms benign fibroma
Coding Notes
Specify site if known to avoid unspecified coding.
D22.0 - Melanocytic nevi of lip
Use for dermatofibromas confirmed by biopsy on the lip.
Applicable To
- Dermatofibroma
Excludes
- Malignant melanoma of lip
Clinical Validation Requirements
- Biopsy confirms dermatofibroma
Coding Notes
Ensure biopsy confirmation to avoid misclassification.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Menorrhagia
R31.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Fibroma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D25.0.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Increases risk of audit., Financial: Potential for claim denials.
Mitigation Strategy
Use specific anatomical terms in documentation., Verify imaging or pathology reports before coding.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Increases risk of audit due to lack of specificity., Data Quality: Decreases accuracy of health records.
Mitigation Strategy
Ensure imaging or biopsy confirms the specific type and location of fibroma.
Impact
High risk of audit if unspecified codes are used when specific codes are available.
Mitigation Strategy
Ensure all fibroma diagnoses are supported by specific imaging or biopsy results.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Fibroma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fibroma
Use these documentation templates to ensure complete and accurate documentation for Fibroma. These templates include all required elements for proper coding and billing.
Excision of soft tissue fibroma
Specialty: SurgeryRequired Elements
- Pre-op diagnosis
- Post-op diagnosis
- Procedure details
- Specimen sent for pathology
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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