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Home/Diagnosis/ICD-10 Coding for Heavy Vaginal Bleeding

ICD-10 Coding for Heavy Vaginal Bleeding

N92.0
N92.1
N92.4

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

Also Known as:
Menorrhagia
Metrorrhagia
Abnormal Uterine Bleeding
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Key Information: ICD-10 Coding for Heavy Vaginal Bleeding

Essential facts and insights about ICD-10 Coding for Heavy Vaginal Bleeding

Use ICD-10 code N92.0 for excessive and frequent menstruation with regular cycle, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Excessive and frequent menstruation with regular cycle

Billable Code
N92.0
Billable

Diagnostic Criteria

clinical:
  • • Regular menstrual cycles with heavy bleeding
documentation:
  • • Documented cycle regularity and bleeding volume

Applicable To

  • • Menorrhagia with regular cycles

Important Notes

  • • Ensure cycle regularity is documented to avoid misclassification.

Excessive and frequent menstruation with irregular cycle

Billable Code
N92.1
Billable

Diagnostic Criteria

clinical:
  • • Cycle length <21 or >35 days
  • • Anovulatory bleeding
  • • LH/FSH ratio >2

Applicable To

  • • Menorrhagia with irregular cycles

Important Notes

  • • Ensure cycle irregularity is documented to avoid misclassification.

Excessive bleeding in the premenopausal period

Billable Code
N92.4
Billable

Diagnostic Criteria

clinical:
  • • Elevated FSH (>25 IU/L)
  • • Endometrial thickness >12mm on ultrasound

Applicable To

  • • Premenopausal heavy bleeding

Important Notes

  • • Ensure menopausal status is documented to avoid misclassification.

Other specified abnormal uterine and vaginal bleeding

Billable Code
N93.8
Billable

Diagnostic Criteria

clinical:
  • • Hysteroscopy/pathology confirming lesion
  • • Postcoital bleeding

Applicable To

  • • Bleeding from structural causes

Important Notes

  • • Ensure structural cause is documented to avoid misclassification.
Ancillary Codes

Additional codes that may be used with this diagnosis

D50.9

Iron deficiency anemia, unspecified

Use when anemia is confirmed by lab tests.

D25.9

Leiomyoma of uterus, unspecified

Use when fibroids are confirmed by imaging.

E28.2

Polycystic ovarian syndrome

Use when PCOS is confirmed by clinical criteria.

Frequently Asked Questions

What is the ICD-10 code for heavy vaginal bleeding?

The ICD-10 code for heavy vaginal bleeding with regular cycles is N92.0, while N92.1 is used for irregular cycles.

How do you document heavy menstrual bleeding?

Document cycle regularity, duration, and quantify bleeding (e.g., pads per day) to support accurate coding.

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