D25.2 Subserosal leiomyoma of uterus

ICD10CM code

#### Name of the Condition
- Subserosal Leiomyoma of Uterus (Fibroid)

#### Summary
- Subserosal leiomyomas are non-cancerous growths that develop on the outer wall of the uterus. These fibroids are a common type of benign uterine tumor and can vary greatly in size.

#### Causes
- The exact cause of subserosal leiomyomas is unknown. They likely result from genetic, hormonal (particularly estrogen and progesterone), and environmental factors.

#### Risk Factors
- Women of reproductive age, especially between 30-50 years.
- Family history of fibroids.
- Obesity and dietary factors, including higher intake of red meat.
- African American women are at higher risk.

#### Symptoms
- Many subserosal leiomyomas are asymptomatic. When symptoms occur, they may include pelvic pain, back pain, frequent urination, and pressure on nearby organs.

#### Diagnosis
- Pelvic examination by a healthcare provider.
- Imaging tests such as ultrasound or MRI to visualize the fibroids.

#### Treatment Options
- Medications: Hormone therapy to regulate menstruation.
- Minimally invasive procedures: Uterine artery embolization or MRI-guided focused ultrasound surgery.
- Surgical options: Myomectomy to remove fibroids, or hysterectomy for severe cases.
- Treatment choice depends on symptoms, fibroid size, and patient's reproductive plans.

#### Prognosis and Follow-Up
- With treatment, symptoms can significantly improve, and quality of life can be enhanced.
- Regular follow-up is important to monitor for fibroid growth or recurrence, especially in patients choosing non-surgical treatments.

#### Complications
- If left untreated, may lead to significant discomfort or pressure effects on nearby organs.
- Rarely, they can affect fertility or cause complications during pregnancy.

#### Lifestyle & Prevention
- Maintaining a healthy weight and balanced diet.
- Regular exercise may help reduce risks.
- Routine medical check-ups to monitor changes in uterine health.

#### When to Seek Professional Help
- If experiencing unexplained pelvic pain, abnormal bleeding, or significant changes in menstrual cycle.

#### Additional Resources
- American College of Obstetricians and Gynecologists (ACOG)
- Fibroids: National Institutes of Health (NIH) website
- Uterine Fibroid Foundation

#### Tips for Medical Coders
- Ensure to differentiate subserosal leiomyomas (D25.2) from other types of uterine fibroids.
- Verify the specific location and type of fibroid to accurately assign codes.
- Avoid miscoding by carefully reviewing diagnostic imaging and physician notes.

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