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Doctor insights on: Dx Code For Fibroids

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Dr. Mark Ingerman
9 doctors shared insights

Fibroids (Definition)

Uterine fibroids are the most common pelvic tumor in women. 1 of every 3 women of child-bearing age have these tumors and up to 80% of african-american women have fibroids. They are often asymptomatic but they can also cause significant symptoms. It is the most common cause of heavy menstrual bleeding. Pelvic pain and increased urinary frequency ...Read more


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How does a gynocologist choose between rec for endo biopsy vs d&c? For pt w/cancer hx, thickened endo wall, fibroid, cervical bump, shall i go4 d&c?

How does a gynocologist choose between rec for endo biopsy vs d&c? For pt w/cancer hx, thickened endo wall, fibroid, cervical bump, shall i go4 d&c?

Purpose will be same: D&c kept the gold standard for a century , where cervix is dilated and plenty of endometrium is scraped for biopsy, is quick and needs anesthesia. Where endometrial biopsy a catheter is inserted and suction biopsy is done most of the time with sedation in the office , both will get endometrium for biopsy , ask gyn doc will tell which will be better for a reason. ...Read more

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Dx z12.13 on. Mammo script mean is this Dx for a routine mammogram?

Dx z12.13 on. Mammo script mean is this Dx for a routine mammogram?

Yes and No: Yes, whoever wrote the prescription likely meant it for breast cancer screening. No, that diagnosis code is not for breast cancer screening. The code for breast cancer screening is Z12.31, not Z12.13. ...Read more

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What is the diagnosis code for history of metastatic uterine cancer?

What is the diagnosis code for history of metastatic uterine cancer?

179.0 or 182.0: Those are icd9 codes describing primary cancer in uterus. The specific site of metastatses can be identified by add'l icd9 codes (bone - 198.5, lung -197.0). ...Read more

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DX PID in Er. Had US and Pap. Pap normal, negative for std/sti. Confused about other possible causes, or was this incorrect dx? No hx endometriosis

DX PID in Er. Had US and Pap. Pap normal, negative for std/sti. Confused about other possible causes, or was this incorrect dx? No hx endometriosis

Possibly Wrong DX: I find that ERs over diagnose women who present with pelvic pain and/or vaginal discharge with PID. It would help to have more information, including symptoms you had. I assume they Rxd antibiotics , and your US was normal. They likely tested you for GC/Chlamydia, which are the most common causes of PID, but not the only pathogens that can cause it. If no better see gyn specialist. Take Care. ...Read more

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What questions should I ask new gyn to get accurate diagnosis for for ruptured unknown solid septated mass on r ovary w/ ovary swelling to 7cm?

What questions should I ask new gyn to get accurate diagnosis for for ruptured unknown solid septated mass on r ovary w/ ovary swelling to 7cm?

What is it? : The first thing you will need to ask is is the mass still present? If there is a 7 cm solid ovarian mass then most likely it needs to be removed. Discuss this option with your doctor. If the mass has ruptured and is no longer there then nothing will need to be done other than a follow-up ultrasound to confirm resolution. ...Read more

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Waiting for an appt for 2nd opinion for ruptred solid septated mass. Have us images for past 3 years. Will new gyn need all or just most recent 2 us's?

More info is best: I would suspect that the last 2 would probably be fine if that is all you are able to obtain, but if you can get the third one, it could only help. ...Read more

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Mammo Prescription and it as DX Z12.31- encounter for screening mammogram for malignant neoplasm of breast what is DX is it for a routine mammo ?

 Mammo Prescription  and it as DX Z12.31- encounter for screening mammogram for malignant neoplasm of breast what is  DX is it for a routine mammo ?

ICD-10 code: Doctor's have to come up with codes for billing purposes - especially when we order tests. This system is called ICD-10. It is the 10th generation of the International Classification of Diseases if you really want to know. "Dx" stands for 'diagnosis', and Z12.31 is a breast cancer screening code for the mammogram. I'd ask the doctor more questions if you're still not sure. ...Read more

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TTC..had 2 D&C..2013 for endometrial polyp w/ posterior wall adenomyosis 4cm.2016 for simple endo hyper w/o atypia, adenomyoma now at 6cm. Wat to do?

TTC..had 2 D&C..2013 for endometrial polyp w/ posterior wall adenomyosis 4cm.2016 for simple endo hyper w/o atypia, adenomyoma now at 6cm. Wat to do?

Change diet: Eating high carb foods like grains, lentils, potatoes, milk protein (yogurt, cheese, milk, kefir) causes inflammation, insulin resistance, and tissue growth (such as overgrowth of uterine tissue in your case). Consume flesh foods, eggs, butter, olive oil, vegetables. For detailed list of what to eat/avoid, go to https://kaushikmd.com/2016/11/03/get-started/ Symptoms should improve in 1-3 months ...Read more

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Frozen section biopsy for ovarian neoplasms is accurate?

Frozen section biopsy for ovarian neoplasms is accurate?

Frozen section: It's right about whether there is cancer in 98% of cases although the exact diagnosis gets adjusted fairly often in the final reports with further analysis. ...Read more

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What is the cpt code for flexible colonoscopy with biopsy?

What is the cpt code for flexible colonoscopy with biopsy?

CPT 45380: Plain colonoscopy is 45378, with a biopsy 45380. Hot biopsy polypectomy is 45384 and snare polypectomy is 45385. ...Read more

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Male 55 healthy/active prostate cancer, scheduled for rp, psa 6.5 biopsies 6of8 pos 2aggessive, gleason 7. Are there other options to consider other than surg. Ct and bone scan clear. ?

Male 55 healthy/active prostate cancer, scheduled for rp, psa 6.5 biopsies 6of8 pos 2aggessive, gleason 7. Are there other options to consider other than surg. Ct and bone scan clear. ?

Yes but: Alternatives are external beam radiation and radiation seeds (brachytherapy). At your age, conservative (watching) isn't advised. All of the therapies can cause urinary incontinence and e.D. - with surgery, they get better over time for most. With radiation, they get worse over time. Surgery is the time honored best of a bad situation. Good luck. ...Read more

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How accurate is a 2d ultrasound at diagnosing gynecological issues like pcos, fibroids, cysts, endometriosis, etc...?

How accurate is a 2d ultrasound at diagnosing gynecological issues like pcos, fibroids, cysts, endometriosis, etc...?

Depends: Cysts and fibroids are easy to see. Endometriosis is not diagnosed by ultrasound. Pcos is diagnosed by medical history and lab work using an ultrasound as supplemental evidence. ...Read more

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Stg4 uterine cancer.mom expird.how to fnd dis cancer in stg 1?any screening or periodical mri.ct and ultrasound will hlp diagnose d same in stg 1?

Stg4 uterine cancer.mom expird.how to fnd dis cancer in stg 1?any screening or periodical mri.ct and ultrasound will hlp diagnose d same in  stg 1?

US screening: In certain situations the incidence of uterine Ca is high and as such screened for. When breast Ca patient in Tamoxifen which acts as an antiestrogen in breast, it acts as an estrogen on the uterus and screening for uterine Ca performed periodically with US.. When lining thickens then uterine endometrial scrapings performed to RO malignant transformation. ...Read more

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How accurate is the genetic testing for ovarian cancer?

How accurate is the genetic testing for ovarian cancer?

Very if BRCA mutated: The genes brca1 and brca2 cause breast-ovarian cancer, suspected when women have onset of breast cancer before menopause or when there are several cases of breast/ovarian cancer in a family. Women with a brca mutation have as much as a 50% lifetime risk for ovarian cancer (85% for breast) and often choose prophylactic oophorectomy after positive brca testing since there is no good clinical screen. ...Read more

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Dr. Eric Weisman
3 doctors shared insights

Fibroid (Definition)

A leiomyomata(fibroid) is a smooth muscle growth in the uterus that is rubbery, binds the female hormone estrogen and can grow to "epic" proportions causing distortion of the uterus. They cause bleeding, and burning pain( aka "fireball tumor") as ...Read more


Dr. John Lipman
662 doctors shared insights

Uterine Fibroids (Definition)

Benign tumors made of muscular and fibrous tissues that typically develop in the ...Read more