ICD-10 Code D28.2 | Benign neoplasm of uterine tubes and ligaments Symptoms, Diagnosis, Billing

Benign neoplasms of the uterine tubes and ligaments are non-cancerous growths that can occur in the reproductive system. These neoplasms may arise from various tissues and can lead to symptoms such as pelvic pain or abnormal bleeding. Accurate coding with ICD-10 Code D28.2 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this condition.

What is ICD-10 Code D28.2 for Benign neoplasm of uterine tubes and ligaments?

ICD-10 Code D28.2 specifically identifies benign neoplasms located in the uterine tubes and ligaments. These growths are typically non-malignant and may not present significant health risks; however, they can cause discomfort or complications. This code should be used in clinical documentation and billing when a patient is diagnosed with such neoplasms, ensuring accurate representation of the patient's condition for treatment and reimbursement purposes.

ICD-10 Code D28.2 – Clinical Definition and Explanation of Benign neoplasm of uterine tubes and ligaments

Benign neoplasms of the uterine tubes and ligaments are abnormal growths that do not invade surrounding tissues or metastasize. These neoplasms can arise from various cell types and may be asymptomatic or present with clinical symptoms. Medical attention is necessary to monitor these growths and manage any associated symptoms.

Key Clinical Features:

• May present with pelvic pain or discomfort.
• Can cause abnormal menstrual bleeding.
• Often asymptomatic and discovered incidentally.
• Typically non-malignant and slow-growing.
• Requires monitoring to rule out malignancy.

ICD-10 Code D28.2 for Benign neoplasm of uterine tubes and ligaments – SOAP Notes & Clinical Use

ICD-10 Code D28.2 is utilized in SOAP notes to document the presence of benign neoplasms in the uterine tubes and ligaments. This code aids in capturing patient symptoms, assessment findings, and treatment plans, ensuring comprehensive documentation in both acute and chronic care settings.

What Does ICD-10 Code D28.2 for Benign neoplasm of uterine tubes and ligaments Mean in SOAP Notes?

In SOAP notes, ICD-10 Code D28.2 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of benign neoplasms. This code is crucial for ensuring continuity of care, supporting accurate billing, and meeting electronic health record documentation standards.

Treatment Options for ICD-10 Code D28.2 – Benign neoplasm of uterine tubes and ligaments

Management of benign neoplasms of the uterine tubes and ligaments may vary based on symptoms and clinical findings. While these neoplasms are typically non-cancerous, appropriate treatment is necessary to alleviate symptoms and monitor for any changes.

Antibiotic Therapy:

Supportive Care:

• Pain management with NSAIDs as needed.
• Regular monitoring through imaging studies.
• Patient education on symptom awareness.

Infection Control:

How to Document Symptoms of Benign neoplasm of uterine tubes and ligaments (ICD-10 D28.2) in SOAP Notes

Subjective:

• Patient reports intermittent pelvic pain.
• History of abnormal menstrual cycles.
• No significant weight loss or changes in appetite.
• Denies fever or other systemic symptoms.

Objective:

• Pelvic examination reveals tenderness in the adnexal region.
• Ultrasound shows a mass in the uterine tube.
• Vital signs stable with no abnormalities.
• No signs of acute distress noted.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

SOAP Note Guidelines for Diagnosing Benign neoplasm of uterine tubes and ligaments (ICD-10 Code D28.2)

Assessment:

• Diagnosis: Benign neoplasm of uterine tubes and ligaments, mild severity.
• ICD-10 Code: D28.2.
• Contributing factors: Hormonal changes, family history.
• Monitor for any changes in size or symptoms.

Plan:

• Consider follow-up imaging in 6 months.
• Educate patient on symptom monitoring.
• Schedule follow-up appointment to reassess.
• Discuss potential surgical options if symptoms worsen.

Treatment & Plan Section for ICD-10 Code D28.2 – Benign neoplasm of uterine tubes and ligaments

• Monitor growth with periodic imaging.
• Manage symptoms with analgesics as needed.
• Educate on signs of complications requiring immediate care.
• Consider referral to a specialist for surgical evaluation if indicated.

Using ICD-10 Code D28.2 for Benign neoplasm of uterine tubes and ligaments in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and findings in SOAP notes.
• Use D28.2 for billing when benign neoplasms are diagnosed.
• Align treatment plans with clinical guidelines for reimbursement.
• Document any related procedures or consultations for comprehensive billing.

Related ICD-10 Codes Often Used with Benign neoplasm of uterine tubes and ligaments

• D28.1 – Benign neoplasm of ovary
• D25.9 – Uterine leiomyoma, unspecified

ICD-10 Code D28.2 in Medical Billing and Insurance for Benign neoplasm of uterine tubes and ligaments

ICD-10 Code D28.2 is critical in medical billing, particularly in hospital and outpatient settings, to ensure accurate reimbursement for services related to benign neoplasms.

Billing Notes:

• Document all relevant clinical findings to support the diagnosis.
• Use D28.2 in conjunction with procedure codes for comprehensive billing.
• Ensure that the medical necessity for treatment is clearly outlined in the documentation.
• Review payer guidelines for specific billing requirements related to benign neoplasms.

Common CPT Pairings: