What Is the ICD-10 Code for Uterine Fibroids?
If you’ve ever seen a diagnosis written as “D25.1” or “D25.9” on your medical paperwork, you’ve probably wondered what it means. These codes are part of the ICD-10 system.
ICD-10 codes (International Classification of Diseases, 10th Revision) are alphanumeric codes assigned to specific health conditions and diagnoses. Created by the World Health Organization (WHO), these codes are used globally for:
- Billing and insurance purposes
- Tracking public health statistics
- Clinical documentation and communication
The general ICD-10 code for uterine fibroid or uterine leiomyoma is D25. This category includes several specific codes that describe the location of the fibroid:
- D25.0 (submucous leiomyoma of uterus): These fibroids grow just beneath the uterine lining and can cause heavy menstrual bleeding and fertility issues.
- D25.1 (intramural leiomyoma of uterus): The most common type, these fibroids develop within the muscular wall of the uterus and often cause pelvic pain and pressure.
- D25.2 (subserosal leiomyoma of uterus): These fibroids project to the outer surface of the uterus and can press on nearby organs like the bladder or bowel.
- D25.9 (leiomyoma of uterus, unspecified): This code is used when the type or location of the fibroid isn’t specified in the medical record.
Why ICD-10 Coding Matters for Fibroid Care
You might wonder, why do these codes matter to you as a patient? Here’s why:
- Accurate diagnosis: Using the right ICD-10 code ensures that your uterine fibroid is correctly identified and tracked.
- Insurance coverage: Health plans require specific diagnostic codes for procedure approval and reimbursement of claims.
- Treatment planning: Knowing the type of uterine leiomyoma helps doctors choose the most effective treatment, whether it’s medication or uterine fibroid embolization (UFE).
If you’re being evaluated for fibroids, it’s helpful to ask your healthcare provider which ICD-10 uterine leiomyoma code applies to your specific case. This can also help when reviewing test results or requesting second opinions.
Who Uses Uterine Leiomyoma ICD-10 Codes?
These codes are used by:
- Gynecologists and OB-GYN specialists
- Radiologists and interventional radiologists
- Primary care physicians
- Insurance companies and billing departments
- Medical coders and electronic health record systems
At Fibroid Pain Center, we ensure that your diagnosis and treatment plans are clearly documented using the proper ICD-10 uterine leiomyoma codes. This helps streamline communication between providers and supports a more efficient care experience.
How Are These Codes Used in Imaging and Diagnosis?
When you undergo imaging like pelvic ultrasound, MRI, or CT scans, your radiologist will describe the location and size of the fibroids. This anatomical information is matched to the correct ICD-10 uterine leiomyoma code:
- Intramural on imaging? Likely D25.1
- Subserosal seen extending outside the uterus? That’s D25.2
- Submucous causing endometrial distortion? Code D25.0
- Can’t tell yet? Use D25.9 until further imaging is complete
Once the type of fibroid is confirmed, your treatment path becomes clearer. If you’re considering a minimally invasive option, learn about our fibroid treatments to see if UFE is right for you.
How ICD-10 Codes Guide Uterine Fibroid Treatment
The ICD-10 code assigned to your fibroid helps guide:
- Procedure selection (like UFE vs. myomectomy)
- Pre-authorization for insurance
- Monitoring symptom progression
- Surgical planning
At Fibroid Pain Center, we tailor your treatment plan to your specific symptoms and fibroid classification. We offer non-surgical solutions, such as uterine fibroid embolization, which can shrink most types of fibroids with minimal downtime and while sparing the uterus.
If you’re dealing with a uterine fibroid diagnosis or suspect you might have one, contact us to schedule a consultation. Our team will help you understand your imaging results, explain the ICD-10 codes listed in your report, and walk you through your treatment options.
FAQs
Can One Patient Have Multiple ICD-10 Codes for Fibroids?
Yes. If you have fibroids in more than one location (e.g., both submucous and intramural), multiple codes can be used to reflect the complexity of your case.
Do ICD-10 Codes Ever Change?
Yes. The ICD-10 system is updated periodically. However, D25.0–D25.9 have been stable for years and are widely recognized.
Does My Insurance Need to See a Specific Code?
Yes. Insurance companies require specific ICD-10 codes to justify coverage for evaluations, imaging, or procedures like uterine fibroid embolization (UFE). An incorrect or vague code could result in claim denial. Always ensure your provider uses the most accurate and up-to-date code that reflects your diagnosis.
What Does Uterine Leiomyoma Mean In Medical Terms?
A uterine leiomyoma is simply the medical term for a fibroid, a benign (non-cancerous) tumor that grows in the muscle tissue of the uterus. These growths can vary in size and location. You might hear doctors refer to them using terms like intramural, submucosal, or subserosal, which describe where the fibroid is located in your uterus.
Can You Have More Than One Type Of Fibroid?
Yes, you can. It’s common to have fibroids in multiple locations at the same time. For example, you might have both intramural and subserosal fibroids, which could lead to a mix of symptoms like pelvic pressure and heavy periods. Each type may be assigned a different ICD-10 code during diagnosis.
Is An ICD-10 Code Needed For Insurance?
Absolutely. If you’re planning to receive treatment—especially procedures like uterine fibroid embolization (UFE)—your insurance provider will require a specific ICD-10 uterine leiomyoma code to approve coverage. Using the right code helps avoid delays.
Do ICD-10 Codes Affect Treatment Plans?
Yes. The specific code helps your doctor understand the location and nature of the fibroid, which can impact what treatment options are best for you.
