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Leiomyoma of myometrium

  1. #1
    Default Leiomyoma of myometrium
    Medical Coding Books
    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.

  2. Default
    218.9

  3. #3
    Default Leiomyoma of myometrium
    Thanks a lot. Can you just please explain why should we use 218.9 because there is a controversy going on.

  4. #4
    Smile
    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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