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Home/Diagnosis/ICD-10 Coding for Menopausal Syndrome

ICD-10 Coding for Menopausal Syndrome

N95.1
N95.0

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

Also Known as:
Climacteric States
Menopausal State
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Key Information: ICD-10 Coding for Menopausal Syndrome

Essential facts and insights about ICD-10 Coding for Menopausal Syndrome

Use ICD-10 code N95.1 for menopausal and female climacteric states, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Menopausal and female climacteric states

Billable Code
N95.1
Billable

Diagnostic Criteria

  • • Presence of vasomotor symptoms directly linked to menopause.

Applicable To

  • • Vasomotor symptoms
  • • Psychological symptoms

Important Notes

  • • Ensure documentation specifies the relationship between symptoms and menopause.

Postmenopausal bleeding

Billable Code
N95.0
Billable

Diagnostic Criteria

  • • Endometrial assessment required

Applicable To

  • • Bleeding after menopause

Important Notes

  • • Document last menstrual period and any hormone therapy.
Ancillary Codes

Additional codes that may be used with this diagnosis

M81.0

Postmenopausal osteoporosis

Use when osteoporosis is confirmed by bone density testing.

Frequently Asked Questions

What is the ICD-10 code for menopausal syndrome?

The ICD-10 code for menopausal syndrome is N95.1, used for general menopausal symptoms such as hot flashes and mood changes.

How do you code postmenopausal bleeding?

Postmenopausal bleeding is coded as N95.0, requiring documentation of endometrial assessment.

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