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Home/Diagnosis/ICD-10 Coding for Menopause

ICD-10 Coding for Menopause

N95.1
Z78.0

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

Also Known as:
Climacteric
Change of Life
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Key Information: ICD-10 Coding for Menopause

Essential facts and insights about ICD-10 Coding for Menopause

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 and lab confirmation

Applicable To

  • • Hot flashes
  • • Night sweats
  • • Mood changes

Important Notes

  • • Ensure symptoms are clearly documented and linked to menopause.

Asymptomatic menopausal state

Billable Code
Z78.0
Billable

Diagnostic Criteria

  • • Explicit statement of no symptoms
  • • ≥12 months of amenorrhea

Applicable To

  • • Postmenopausal status without symptoms

Important Notes

  • • Use only when no symptoms are present.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z78.0

Asymptomatic menopausal state

Use as a secondary code when documenting routine screening without symptoms.

Frequently Asked Questions

What is the ICD-10 code for menopause?

The ICD-10 code for symptomatic menopause is N95.1, used when symptoms like hot flashes are present.

When to use Z78.0 for menopause?

Use Z78.0 for asymptomatic menopausal status, confirmed by ≥12 months of amenorrhea without symptoms.

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