icd 10 cm code for heterogeneous slightly thickened endometrial stripe

by Jordy Anderson MD 8 min read

Endometrial hyperplasia, unspecified
N85. 00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM N85. 00 became effective on October 1, 2021.

Full Answer

What is the best thickened endometrium treatment?

Treatments for a thin endometrium can include:

  • estrogen
  • human chorionic gonadotrophin, which is a hormone that the placenta produces after an embryo implants in the uterus wall
  • medications and supplements used to improve blood flow

What is the treatment for thickened endometrium?

What is the treatment for thickened endometrium? The most common treatment is progestin. This can be taken in several forms, including pill, shot, vaginal cream, or intrauterine device. Atypical types of endometrial hyperplasia, especially complex, increase your risk of getting cancer. If you have these types, you might consider a hysterectomy.

What is the treatment for endometrial thickening?

Treatment for thickened endometrium basically depends on the underlying cause and may be conservative or surgical. Most of the time simplex or complex hypertrophic endometrium without cellular atypical is treated with birth control pills or progesterone. Women who are in menopause, particularly those suffering from atypical endometrial ...

What does thickened endometrium mean?

Endometrial hyperplasia thickens the uterus lining, causing heavy or abnormal bleeding. Atypical endometrial hyperplasia raises the risk of endometrial cancer and uterine cancer. The condition tends to occur during or after menopause. Progestin therapy can ease symptoms. Women at risk for cancer may choose to get a hysterectomy.

What is heterogeneous thickened endometrium?

Endometrial hyperplasia is a condition of the female reproductive system. The lining of the uterus (endometrium) becomes unusually thick because of having too many cells (hyperplasia). It's not cancer, but in certain women, it raises the risk of developing endometrial cancer, a type of uterine cancer.

What does heterogeneous endometrial stripe mean?

When the endometrium shows up on an MRI or ultrasound, it looks like a dark stripe and is sometimes called the endometrial stripe. A stripe more than 11 millimeters is considered thick for this post-menopausal stage. Abnormally thick stripes could be a sign of cancer.

What is the ICD 10 code for thickened endometrial stripe?

N85. 00 - Endometrial hyperplasia, unspecified | ICD-10-CM.

What is thickening of the endometrial stripe?

Having an abnormally thick endometrium could be an early sign of cancer. Other symptoms include heavy, frequent, or otherwise irregular bleeding, irregular discharge after menopause, and lower abdominal or pelvic pain.

Is a heterogeneous endometrium normal?

Although the US appearance of the uterus and endometrium may be normal, findings may include a thickened, heterogeneous endometrium, intracavitary fluid, and intrauterine air (,Fig 12). Postpartum hemorrhage is most often caused by uterine atony and RPOC and complicates 1%–2% of vaginal deliveries (,19).

What is heterogeneous enhancement of the uterus?

After IV contrast media administration, uterine enhancement is heterogeneous with irregular hypodense regions within the myometrium, corresponding to hemorrhage or necrosis and dilated uterine and broad ligaments vessels [26].

What is diagnosis code R93 89?

ICD-10 code R93. 89 for Abnormal findings on diagnostic imaging of other specified body structures is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

What is the ICD-10 code for endometrial thickening on ultrasound?

Endometrial hyperplasia, unspecified N85. 00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM N85. 00 became effective on October 1, 2021.

What is the normal thickness of endometrial stripe in CM?

Many studies generally define an endometrial thickness of 4.0- or 5.0-mm as the normal cut-off value in postmenopausal women [12,13,14].

How is endometrial stripe measured?

The endometrium should be measured in the long axis or sagittal plane, ideally on transvaginal scanning, with the entirety of the endometrial lining through to the endocervical canal in view.

What is the most common cause of endometrial thickening?

The most common cause of endometrial hyperplasia is having too much estrogen and not enough progesterone. That leads to cell overgrowth. There are several reasons you might have a hormonal imbalance: You've reached menopause.

At what thickness is the endometrial stripe cause for concern in a woman who has postmenopausal bleeding?

The diagnosis is straight forward and be picked up in early stage, when postmenopausal women present with bleeding. Endometrial thickness after menopause may indicate malignancy when it is more than >4-5 mm.

When should I worry about endometrial thickness?

If an endometrial thickness of ≥ 8 mm is considered abnormal, 0.9% of women without cancer and without bleeding and 12% of women without cancer and with bleeding will have endometrial measurements above this threshold, and 95% of women with cancer will have endometrial measurements above this threshold.

How do you treat thick endometrial stripe?

Most cases of endometrial hyperplasia are treatable. A common treatment is progestin, a manmade progesterone. Your doctor may prescribe progestin in a few different ways: Orally.

What is the most common cause of endometrial thickening?

The most common cause of endometrial hyperplasia is having too much estrogen and not enough progesterone. That leads to cell overgrowth. There are several reasons you might have a hormonal imbalance: You've reached menopause.

What is benign proliferation of the endometrium in the uterus?

Benign proliferation of the endometrium in the uterus. Endometrial hyperplasia is classified by its cytology and glandular tissue. There are simple, complex (adenomatous without atypia), and atypical hyperplasia representing also the ascending risk of becoming malignant.

How many types of endometrial hyperplasia are there?

There are four types of endometrial hyperplasia: simple endometrial hyperplasia, complex endometrial hyperplasia, simple endometrial hyperplasia with atypia, and complex endometrial hyperplasia with atypia. These differ in terms of how abnormal the cells are and how likely it is that the condition will become cancer.

How thick is the endometrium?

Uterine cancer is most commonly found in post-menopausal women, when the endometrium is supposed to be 8 and 11 millimeters thick. When the endometrium shows up on an MRI or ultrasound, it looks like a dark stripe and is sometimes called the endometrial stripe. A stripe more than 11 millimeters is considered thick for this post-menopausal stage. ...

What does it mean when your endometrium is thick?

Abnormally thick stripes could be a sign of cancer. Endometrial cancer is rated on a grading scale of 1 to 3 based on how much it looks like a normal endometrium. Grades 1 and 2 are considered lower grade, less aggressive cancers in which cancerous tissue forms glands; these are labeled Type 1 cancers. Grade 3 is a higher grade, aggressive cancer ...

What is the treatment for uterine cancer?

There are different treatment options for uterine cancers, however, they are dependent on the stage, type, and the aggressiveness of the cancer. Surgery in the form of a hysterectomy and/or salpingo-oophorectomy (removal of the fallopian tubes and ovaries) is the first option.