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Home/Diagnosis/ICD-10 Coding for Menstrual Cramp

ICD-10 Coding for Menstrual Cramp

N94.4
N94.5
N94.89

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

Also Known as:
Dysmenorrhea
Menstrual Pain
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Key Information: ICD-10 Coding for Menstrual Cramp

Essential facts and insights about ICD-10 Coding for Menstrual Cramp

Use ICD-10 code N94.4 for primary dysmenorrhea, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Primary dysmenorrhea

Billable Code
N94.4
Billable

Diagnostic Criteria

clinical:
  • • No identifiable pelvic pathology
documentation:
  • • Cyclical pain beginning within 1-2 years of menarche

Applicable To

  • • Recurrent cramping without identifiable pathology

Important Notes

  • • Ensure documentation specifies absence of identifiable pathology.

Secondary dysmenorrhea

Billable Code
N94.5
Billable

Applicable To

  • • Cramps with confirmed etiology such as endometriosis or fibroids

Important Notes

  • • Document the specific underlying condition causing the dysmenorrhea.

Other specified conditions associated with female genital organs and menstrual cycle

Billable Code
N94.89
Billable

Applicable To

  • • Atypical symptoms not covered by primary or secondary dysmenorrhea

Important Notes

  • • Ensure documentation supports atypical presentation.
Ancillary Codes

Additional codes that may be used with this diagnosis

R10.2

Pelvic and perineal pain

Use to specify pain location if documented.

Frequently Asked Questions

What is the ICD-10 code for menstrual cramps?

The ICD-10 code for primary dysmenorrhea is N94.4, and for secondary dysmenorrhea, it is N94.5. These codes are used based on the presence or absence of an underlying condition.

How do you code secondary dysmenorrhea?

Secondary dysmenorrhea is coded as N94.5, with an additional code for the underlying condition, such as N80.9 for endometriosis.

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