HomeEducation

What is An ICD-10 Code For Uterine Fibroids?

ICD-10 Code For Uterine Fibroids
ICD-10 Code For Uterine Fibroids

Uterine fibroids — also known as leiomyomas or myomas — affect millions of women around the world. They are non-cancerous growths that develop in or on the uterus, often during childbearing years.

If you’ve ever had a medical bill, insurance claim, or medical chart related to fibroids, you may have seen a string of letters and numbers like D25.2 or D25.0 attached to your diagnosis. These are called ICD codes.

What Are ICD Codes?

ICD stands for International Classification of Diseases. It’s a globally recognized system used by healthcare providers to document, code, and classify diseases and health conditions.

The most current version is ICD-10-CM (Clinical Modification), but in 2025, it’s still primarily referred to as ICD-10.

Key purposes of ICD codes include:

  • Standardizing diagnoses across healthcare settings.
  • Helping with insurance billing and claims.
  • Assisting researchers and public health officials in tracking health trends.
  • Supporting accurate patient records.

What Are Uterine Fibroids?

Before we dive into the codes, let’s quickly review what uterine fibroids are.

Uterine fibroids are:

  • Benign (non-cancerous) tumors.
  • Found within the uterus, on the uterine walls, or attached outside the uterus.
  • Common in women aged 30–50.
  • Often symptomless, but can cause heavy bleeding, pelvic pain, and reproductive problems.

Types of uterine fibroids include:

  • Intramural fibroids: Grow within the muscular wall of the uterus.
  • Submucosal fibroids: Bulge into the uterine cavity.
  • Subserosal fibroids: Project outside the uterus.
  • Pedunculated fibroids: Attached by a stalk to the uterus.

What Is The ICD-10 Code For D25.2?

One of the most searched questions is: What is the ICD-10 code for D25.2?

Answer: D25.2 stands for Subserosal Leiomyoma of Uterus.

Breaking it down:

  • D25: Main category for benign neoplasms (tumors) of the uterus.
  • .2: Specifies that the fibroid is located subserosally — growing on the outer surface of the uterus.
  • Specific coding ensures the right treatment.
  • Insurance companies need precise codes for authorization and payment.
  • Different fibroids can cause different symptoms and complications.

What Is The ICD-10 Code For Uterine Fibroid 2025?

When people search “What is the ICD-10 code for uterine fibroid 2025?”, they often mean: What code applies currently in 2025?

Answer: The ICD-10 codes for uterine fibroids in 2025 remain the D25 category codes:

ICD-10 CodeCondition
D25.0Submucous leiomyoma of uterus
D25.1Intramural leiomyoma of uterus
D25.2Subserosal leiomyoma of uterus
D25.9Leiomyoma of uterus, unspecified

Important Details:

  • As of 2025, there have been no major changes to these codes.
  • Always check the latest updates from the Centers for Medicare and Medicaid Services (CMS), as coding updates can occur annually.

What Is The ICD-10 Code For D25 2?

This is another phrasing of the earlier question, but let’s be crystal clear:

Answer: D25.2 refers to Subserosal Leiomyoma of Uterus.

Symptoms specific to subserosal fibroids include:

  • Pelvic pressure.
  • Back pain.
  • Bladder issues (frequent urination).
  • Constipation.

Unlike submucosal or intramural fibroids, subserosal fibroids may not affect menstruation as much but can cause significant pressure symptoms.

Remember:

  • Coding correctly helps specialists know the fibroid’s location.
  • Surgical planning depends heavily on this classification.

What Is The CPT Code For Uterine Fibroids?

CPT Code For Uterine Fibroids
CPT Code For Uterine Fibroids

While ICD codes diagnose a condition, or CPT codes (Current Procedural Terminology codes) describe the procedures and treatments performed.

Common CPT codes for treating uterine fibroids include:

  • 58558 — Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C.
  • 58561 — Hysteroscopy, surgical; removal of leiomyomata.
  • 58140 — Myomectomy (removal of fibroids) of the uterus, abdominal approach.
  • 58545 — Laparoscopic myomectomy, removal of one or more fibroids.
  • 58546 — Laparoscopic myomectomy, removal of multiple fibroids.
  • 58999 — Unlisted procedure, female genital system (non-obstetrical) — often used for experimental fibroid treatments.

Key Points:

  • The correct CPT code depends on the type of procedure, location of the fibroids, and number of fibroids removed.
  • CPT coding impacts hospital billing, insurance coverage, and patient costs.

Why Accurate ICD and CPT Coding for Uterine Fibroids Matters

In the world of healthcare, accuracy is critical. Incorrect coding can lead to:

  • Denied insurance claims.
  • Improper treatment plans.
  • Delays in care.
  • Increased costs for patients.
  • Proper diagnosis documentation.
  • Appropriate treatment approvals.
  • Better communication among healthcare providers.

Quick Summary of ICD-10 Codes for Uterine Fibroids

Here’s an easy cheat-sheet:

D25.0 — Submucous Fibroid
D25.1 — Intramural Fibroid
D25.2 — Subserosal Fibroid
D25.9 — Fibroid, unspecified

Always choose the most specific code possible based on imaging, exams, and physician documentation.

How Doctors Choose the Right ICD Code for Uterine Fibroids

Diagnosis usually involves:

  • Pelvic ultrasound (most common).
  • MRI if the fibroids are complex.
  • Hysteroscopy for inside-the-uterus fibroids.

Once fibroids are confirmed, the doctor selects an ICD-10 code based on:

  • Fibroid location (intramural, subserosal, submucosal).
  • Symptoms (bleeding, pressure, infertility).
  • Number and size of fibroids.

Pro Tip:
If the location isn’t specified clearly in the records, and many coders default to D25.9 — unspecified leiomyoma. But specific coding is much better for treatment and billing.

What If Multiple Types of Fibroids Are Present?

In real life, many women have different types of fibroids at once!

  • List multiple codes.
  • Sequence the most significant (largest or most symptomatic) fibroid first.

Example:
A woman has both intramural and, subserosal fibroids:

  • D25.1 (Intramural)
  • D25.2 (Subserosal)

Treatment Options for Uterine Fibroids

Treatment varies depending on symptoms, fibroid size, and patient preferences:

Medical Treatments:

  • Hormonal medications (GnRH agonists)
  • Birth control pills (manage bleeding)
  • Uterine Fibroid Embolization (UFE)
  • MRI-guided focused ultrasound
  • Myomectomy (fibroid removal)
  • Hysterectomy (uterus removal)

Each of these procedures has its own CPT code linked to insurance reimbursement.

Final Thoughts: Know Your Codes!

Understanding the ICD-10 codes and CPT codes for uterine fibroids empowers patients, coders, healthcare providers, and even billing departments.

Key takeaways:

  • D25 codes categorize uterine fibroids in ICD-10.
  • D25.2 specifically identifies and,subserosal fibroids.
  • CPT codes vary based on treatment type.
  • Always use the most specific code to avoid billing issues.

✅ Whether you’re a patient trying to read your medical records, and a medical biller, or a healthcare provider, and knowing these codes helps everyone navigate ‘because’ the healthcare system better!

FAQs

1. What is the ICD-10 code for uterine fibroids?

The ICD-10 codes for uterine fibroids fall under the D25 category. Specific codes include:

  • D25.0 — Submucous leiomyoma of uterus
  • D25.1 — Intramural leiomyoma of uterus
  • D25.2 — Subserosal leiomyoma of uterus
  • D25.9 — Leiomyoma of uterus, unspecified

Each code describes the type and location of the fibroid.

2. What is the ICD-10 code for D25.2?

The ICD-10 code D25.2 specifically refers to Subserosal leiomyoma of the uterus. This type of fibroid grows on the outer surface of the uterus and can cause pressure-related symptoms like bloating, urinary issues, or pelvic discomfort.

3. What is the ICD-10 code for uterine fibroid 2025?

As of 2025, the ICD-10 codes for uterine fibroids remain unchanged. The primary codes used are D25.0, D25.1, D25.2, and D25.9, depending on the fibroid’s exact location.

4. What is the CPT code for uterine fibroids treatment?

Common CPT codes for treating uterine fibroids include:

  • 58561 — Hysteroscopic removal of fibroids.
  • 58140 — Abdominal myomectomy.
  • 58545 — Laparoscopic myomectomy (one or more fibroids).
  • 58546 — Laparoscopic myomectomy (multiple fibroids).
  • 58999 — Unlisted procedure (for unique or experimental treatments).

The correct CPT code depends on the type of procedure performed.

5. Can one patient have multiple ICD-10 codes for uterine fibroids?

Yes! If a patient has different types of fibroids (e.g., subserosal and intramural), healthcare providers can list multiple ICD-10 codes, such as D25.1 and D25.2. The most clinically significant condition is usually listed first.

6. What happens if a uterine fibroid’s location is not specified?

If a medical record does not clearly document the fibroid’s type or location, the provider or coder typically uses D25.9 — Leiomyoma of uterus, unspecified. However, it’s always better to get specific details to ensure the most accurate coding.

7. Do ICD-10 codes change every year?

ICD-10 codes can be updated yearly, but not all categories change every year. For uterine fibroids, the D25 series has remained stable as of 2025. It’s a good practice to review the official updates from the Centers for Medicare and Medicaid Services (CMS) each October.

8. Are ICD codes only used for insurance billing?

No. While ICD codes are essential for insurance claims, they are also critical for:

  • Medical research and statistics
  • Public health reporting
  • Medical education and training
  • Patient medical records and treatment planning

9. How are uterine fibroids diagnosed for coding purposes?

Diagnosis typically involves:

  • Pelvic ultrasound (first-line imaging).
  • MRI scans (for detailed views).
  • Hysteroscopy (for submucosal fibroids).
    Once diagnosed, physicians document the fibroid’s size, number, and location, which determines the correct ICD-10 code.

10. What happens if the wrong ICD-10 or CPT code is used?

Incorrect coding can lead to:

  • Denied insurance claims.
  • Delays in patient care.
  • Out-of-pocket costs for the patient.
  • Problems with medical record accuracy.
    That’s why precise and accurate medical coding is so important!

Thanks for reading.