Leiomyoma of uterus, unspecified

This code represents a benign tumor originating from the smooth muscle tissue of the uterus, commonly known as a fibroid, when the specific location or type of leiomyoma is not documented. These growths can vary in size and number, often causing symptoms such as heavy menstrual bleeding, pelvic pain, or pressure.

Use this code when the medical record clearly indicates a diagnosis of uterine leiomyoma, but the physician documentation does not specify its anatomical location (e.g., submucosal, intramural, subserosal) or provide further detail regarding its type. This code is appropriate when the provider simply states "uterine fibroid" or "leiomyoma of uterus" without additional specificity.

• Avoid using this code if more specific documentation is available regarding the location or type of leiomyoma (e.g., D25.0 for submucous, D25.1 for intramural).
• Query the provider for greater specificity if possible, as more detailed codes often provide better data for patient care and research.
• This code is often used when a patient presents with symptoms suggestive of fibroids, and imaging confirms their presence, but a detailed anatomical classification is not yet determined or documented.