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Home/Diagnosis/ICD-10 Coding for Enlarged Uterus

ICD-10 Coding for Enlarged Uterus

N85.2
O26.84-

Complete ICD-10-CM coding and documentation guide for icd-10 coding for enlarged uterus includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Uterine Hypertrophy
Uterine Enlargement
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Key Information: ICD-10 Coding for Enlarged Uterus

Essential facts and insights about ICD-10 Coding for Enlarged Uterus

Use ICD-10 code N85.2 for hypertrophy of uterus, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Hypertrophy of uterus

Billable Code
N85.2
Billable

Diagnostic Criteria

clinical:
  • • Uterine enlargement confirmed by imaging in a non-pregnant patient.
documentation:
  • • Clear documentation of non-pregnancy and associated symptoms.

Applicable To

  • • Non-pregnant uterine enlargement

Important Notes

  • • Ensure documentation specifies non-pregnancy status and any underlying causes.

Uterine size-date discrepancy in pregnancy

Non-Billable
O26.84-
Non-Billable

Diagnostic Criteria

clinical:
  • • Fundal height measurements showing discrepancy
  • • Ultrasound confirming normal fetal growth

Applicable To

  • • Pregnancy-related uterine enlargement without fetal growth issues

Important Notes

  • • Ensure documentation includes fundal height and gestational age.
Ancillary Codes

Additional codes that may be used with this diagnosis

D25.9

Leiomyoma of uterus, unspecified

Use when fibroids are the cause of uterine hypertrophy.

N80.0

Adenomyosis

Use when adenomyosis is present with uterine hypertrophy.

Frequently Asked Questions

What is the ICD-10 code for an enlarged uterus?

The ICD-10 code for an enlarged uterus not related to pregnancy is N85.2. For pregnancy-related enlargement, use O26.84-.

How do you document an enlarged uterus?

Document uterine size with imaging, note non-pregnancy status, and include symptoms like pelvic pain or heavy bleeding.

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