D25.1 Intramural leiomyoma of uterus

ICD10CM code

#### Name of the Condition
- Intramural leiomyoma of the uterus, also known as uterine fibroids.

#### Summary
- Intramural leiomyomas, or uterine fibroids, are non-cancerous growths that develop within the muscular wall of the uterus. They are a common condition, particularly in women of childbearing age.

#### Causes
- The exact cause of uterine fibroids is not known, but factors such as genetic alterations, hormones, and growth factors are believed to play a role in their development.

#### Risk Factors
- Being of reproductive age.
- A family history of fibroids.
- Ethnic background, with higher prevalence in African-American women.
- Obesity and dietary factors.

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

#### Diagnosis
- Pelvic examination.
- Ultrasound imaging.
- MRI scans for more detailed images.
- Hysteroscopy or laparoscopy in certain cases.

#### Treatment Options
- Medications such as gonadotropin-releasing hormone (GnRH) agonists to shrink fibroids.
- Non-invasive procedures like MRI-guided focused ultrasound surgery (FUS).
- Minimally invasive procedures like uterine artery embolization.
- Surgical options, including myomectomy or hysterectomy, depending on severity and patient preferences.

#### Prognosis and Follow-Up
- The prognosis for uterine fibroids is generally good, with many treatments available that can manage symptoms efficiently.
- Regular follow-ups are crucial to monitor the fibroid's size and any changes in symptoms.

#### Complications
- Severe pain or heavy bleeding.
- Reproductive issues, including infertility or pregnancy complications.
- Anemia from blood loss.

#### Lifestyle & Prevention
- Maintaining a healthy weight through diet and exercise.
- Avoiding hormone-disrupting substances.
- Regular check-ups for early detection and management.

#### When to Seek Professional Help
- Severe pelvic pain.
- Heavy, prolonged, or painful periods.
- Difficulty emptying the bladder or passing stools.
- Any sudden or rapid increase in pelvic pressure or pain.

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

#### Tips for Medical Coders
- Ensure that the fibroid type is specifically identified as intramural (D25.1) when coding.
- Be cautious of overgeneralizing by using codes meant for unspecified types of fibroids.

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