An official website of the United States government
Home
Name
Mirena IUD
Alternate Names
None
Abbreviations
None
Category
Other therapy
Subcategory
None
NSC Number
None
Primary Site
Cervix
Endometrium
Histology
None
Remarks
Coding Instructions: Mirena IUD is not a FDA approved treatment for stage I endometrial cancer. It has been used in various clinical trials with questionable results. Code the treatment in "Other Therapy" and assign code 1: patient received a hormone therapy that could not be coded to hormone.
Intrauterine devices (IUDs) – used to prevent pregnancy – may also be an effective treatment for some patients with early-stage uterine cancer who want to preserve their fertility. In a small, early study (2010), carefully selected patients with cancer that had not spread beyond the inner lining of the uterus were treated with IUDs that released the hormone progesterone. The treatment was found to be as effective as oral hormone therapy, which is the most widely used nonsurgical, fertility-sparing treatment for the cancer. It is important to note that this treatment has not received finally FDA approval but may still be prescribed off-label. If the physician states it is prescribed to shrink the cancer then code as Other treatment. If given to control bleeding consider it palliative treatment.
Intrauterine devices (IUDs) – used to prevent pregnancy – may also be an effective treatment for some patients with early-stage uterine cancer who want to preserve their fertility. In a small, early study (2010), carefully selected patients with cancer that had not spread beyond the inner lining of the uterus were treated with IUDs that released the hormone progesterone. The treatment was found to be as effective as oral hormone therapy, which is the most widely used nonsurgical, fertility-sparing treatment for the cancer. It is important to note that this treatment has not received finally FDA approval but may still be prescribed off-label. If the physician states it is prescribed to shrink the cancer then code as Other treatment. If given to control bleeding consider it palliative treatment.
Coding
Please see remarks for additional information
