Wiki Leiomyoma of myometrium

[umas86]

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.

 

[srinivas r sajja]

218.9

 

[umas86]

Thanks a lot. Can you just please explain why should we use 218.9 because there is a controversy going on.

 

[jgf-CPC]

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!