D25.9 Leiomyoma of uterus, unspecified

ICD10CM code

#### Name of the Condition
- Leiomyoma of Uterus, Unspecified
- Common names: Uterine fibroids, Myoma, Fibromyoma

#### Summary
Leiomyoma of the uterus, known as uterine fibroids, are non-cancerous growths of the uterus that often appear during childbearing years. They are not associated with an increased risk of uterine cancer and rarely develop into cancer.

#### Causes
The exact cause of uterine fibroids is unknown, but several factors may influence their development, including hormonal fluctuations (estrogen and progesterone), genetic changes, and growth factors.

#### Risk Factors
- Age: Most common in women in their 30s and 40s, nearing menopause.
- Family history: If a woman's mother had fibroids, her risk is higher.
- Ethnicity: Higher incidence in African-American women.
- Obesity and dietary factors: Higher weight and eating habits may contribute.

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

#### Diagnosis
- Pelvic examination: Initial step to feel for fibroids.
- Imaging tests, such as ultrasound or MRI, help confirm the diagnosis and evaluate the size and number of fibroids.
- Hysteroscopy or endometrial biopsy may be used in certain cases.

#### Treatment Options
- Medications: Hormone therapy to shrink fibroids or relieve symptoms.
- Minimally invasive procedures: Uterine artery embolization or laparoscopic surgeries.
- Surgical options: Myomectomy to remove fibroids, or hysterectomy for severe cases.

#### Prognosis and Follow-Up
The outlook varies; many women experience a reduction in symptoms after menopause. Regular follow-ups are necessary to monitor growth or symptom changes.

#### Complications
- Severe pain or heavy bleeding
- Anemia from blood loss
- Fertility issues, depending on fibroid location and size

#### Lifestyle & Prevention
- Maintain a healthy weight with a balanced diet.
- Regular exercise may reduce risk.
- Avoiding excess alcohol and caffeine might help manage symptoms.

#### When to Seek Professional Help
Seek medical attention for unexplained pelvic pain, especially if severe, prolonged, or accompanied by heavy bleeding and anemia symptoms.

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

#### Tips for Medical Coders
- Ensure accurate coding by confirming fibroid location if details are available.
- Be cautious of coding specificity; D25.9 indicates unspecified, whereas specific locations have distinct codes.
- Verify the presence of symptoms or complications related to the condition in medical records to ensure comprehensive coding.

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