Benign neoplasm of uterus, part unspecified

This code signifies the presence of a non-cancerous growth within the uterus when the specific location or portion of the uterus affected is not documented. These benign neoplasms are typically slow-growing and do not metastasize.

Use this code when the medical record clearly indicates a benign uterine neoplasm, but lacks specificity regarding its exact anatomical site (e.g., fundus, corpus, cervix). Documentation supporting its use would include pathology reports confirming benignity without further site detail, or physician notes describing a uterine mass as benign without specifying the part of the uterus involved.

• Avoid using this code if a more specific anatomical site within the uterus is documented (e.g., leiomyoma of the uterine corpus).
• Ensure the pathology report or physician documentation explicitly states "benign" to differentiate from malignant or uncertain behavior.
• If the type of benign neoplasm is known (e.g., leiomyoma), code to the specific type rather than this general code.