Submucous leiomyoma of uterus

ICD10CM code

#### Name of the Condition
- **Submucous leiomyoma of uterus**
- Commonly referred to as submucosal fibroids or uterine fibroids.

#### Summary
Submucous leiomyoma of the uterus is a type of non-cancerous tumor that grows beneath the lining of the uterus. These growths, also known as fibroids, can cause symptoms such as heavy menstrual bleeding and pelvic pain, although some women may experience no symptoms at all.

#### Causes
The exact cause of uterine fibroids is not well understood but is thought to be linked to hormonal factors, particularly estrogen and progesterone, which stimulate the growth of these tumors.

#### Risk Factors
- Age (more common in women in their 30s and 40s)
- Family history of fibroids
- Obesity
- Dietary factors such as high red meat consumption and low intake of green vegetables

#### Symptoms
- Heavy or prolonged menstrual bleeding
- Pelvic pain or pressure
- Frequent urination or difficulty emptying the bladder
- Constipation
- Backache or leg pains

#### Diagnosis
- Pelvic examination
- Ultrasound or MRI imaging to visualize the uterus
- Hysteroscopy to look inside the uterus
- Sonohysterography for detailed images

#### Treatment Options
- **Medications**: Hormonal therapies to regulate the menstrual cycle and shrink fibroids.
- **Non-invasive procedures**: MRI-guided focused ultrasound surgery.
- **Minimally invasive procedures**: Uterine artery embolization or endometrial ablation.
- **Surgical options**: Myomectomy to remove fibroids or hysterectomy for severe cases.

#### Prognosis and Follow-Up
The prognosis varies; many women experience symptom relief with treatment. Regular follow-up is important to monitor the condition and manage symptoms effectively.

#### Complications
- Anemia due to heavy menstrual bleeding
- Infertility or complications during pregnancy
- Potential for severe pelvic pain or acute abdomen if left untreated

#### Lifestyle & Prevention
- Maintain a healthy weight
- Consume a balanced diet rich in fruits and vegetables
- Regular exercise

#### When to Seek Professional Help
Seek medical attention if you experience heavy menstrual bleeding, severe pelvic pain, or any sudden changes in menstrual patterns.

#### Additional Resources
- [American College of Obstetricians and Gynecologists (ACOG)](https://www.acog.org)
- [National Uterine Fibroids Foundation](https://www.nuff.org)

#### Tips for Medical Coders
- Ensure specificity when coding submucous leiomyomas as D25.0.
- Verify the type and location of the leiomyoma through medical records.
- Avoid miscoding by distinguishing between submucous, subserosal, and intramural fibroids.