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Home/Diagnosis/ICD-10 Coding for Amenorrhea

ICD-10 Coding for Amenorrhea

N91.0
N91.1
N91.2

Complete ICD-10-CM coding and documentation guide for icd-10 coding for amenorrhea includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Absence of menstruation
Menstrual cessation
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Key Information: ICD-10 Coding for Amenorrhea

Essential facts and insights about ICD-10 Coding for Amenorrhea

Use ICD-10 code N91.0 for primary amenorrhea, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Primary amenorrhea

Billable Code
N91.0
Billable

Diagnostic Criteria

  • • Absence of menarche by age 15 with secondary sexual characteristics or by age 13 without them.

Applicable To

  • • Absence of menarche by age 15 with secondary sexual characteristics
  • • Absence of menarche by age 13 without secondary sexual characteristics

Important Notes

  • • Ensure documentation includes age and secondary sexual characteristics.

Secondary amenorrhea

Billable Code
N91.1
Billable

Diagnostic Criteria

  • • History of regular menstruation followed by absence for ≥3 cycles
  • • Negative pregnancy test, normal prolactin and TSH levels

Applicable To

  • • Absence of menstruation for ≥3 consecutive cycles in previously menstruating patients

Important Notes

  • • Ensure menstrual history and exclusion of pregnancy are documented.

Amenorrhea, unspecified

Billable Code
N91.2
Billable

Diagnostic Criteria

  • • Lack of specific documentation to classify as primary or secondary

Applicable To

  • • Amenorrhea not otherwise specified

Important Notes

  • • Use only when specific type of amenorrhea cannot be determined.
Ancillary Codes

Additional codes that may be used with this diagnosis

E28.3

Primary ovarian failure

Use if primary ovarian failure is confirmed with high FSH levels.

E28.2

Polycystic ovarian syndrome

Use if PCOS is confirmed with Rotterdam criteria.

Frequently Asked Questions

What is the ICD-10 code for primary amenorrhea?

The ICD-10 code for primary amenorrhea is N91.0, used when a female has not started menstruating by age 15 with secondary sexual characteristics or by age 13 without them.

How is secondary amenorrhea coded in ICD-10?

Secondary amenorrhea is coded as N91.1 in ICD-10, applicable when menstruation ceases for three or more cycles in a previously menstruating individual.

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