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Leiomyoma of myometrium

U

umas86

Networker
Messages
35
Can somebody help me out with this. In a pathology report the diagnosis is stated as,

"UTERUS", (TOTAL HYSTERECTOMY):

- 115-GRAM UTERUS SHOWING:

CERVIX:
- UNREMARKABLE ECTOCERVIX.

ENDOMETRIUM:
- COLLECTIONS OF HEMOSIDERIN MACROPHAGES.

MYOMETRIUM:
- LEIOMYOMATA.

Should this leiomyoma to be coded as 218.9 or 219.1.
 
Thanks a lot. Can you just please explain why should we use 218.9 because there is a controversy going on.
 
My opinion is that 218s are specifically for leiomyomas and 219s are for "other" benign neoplasms. Specificity of ICD coding is much easier now....wait till ICD10!
 
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