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Home/Diagnosis/ICD-10 Coding for Menstrual Cramping

ICD-10 Coding for Menstrual Cramping

N94.4
N94.5
N94.6

Complete ICD-10-CM coding and documentation guide for icd-10 coding for menstrual cramping 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 Cramping

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

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

  • • No identifiable pelvic pathology

Applicable To

  • • Menstrual pain without underlying pathology

Important Notes

  • • Ensure documentation specifies absence of underlying conditions.

Secondary dysmenorrhea

Billable Code
N94.5
Billable

Applicable To

  • • Menstrual pain due to underlying conditions like endometriosis

Important Notes

  • • Always sequence the underlying condition first.

Dysmenorrhea, unspecified

Billable Code
N94.6
Billable

Applicable To

  • • Menstrual pain with insufficient workup

Important Notes

  • • Use only when cause isn't identified, and ensure that the lack of cause is clear in the notes.
Frequently Asked Questions

What is the ICD-10 code for menstrual cramping?

The ICD-10 code for primary menstrual cramping is N94.4, while secondary cramping due to underlying conditions is coded as N94.5.

How to document menstrual cramping for coding?

Document menstrual history, pain characteristics, and any underlying conditions to accurately code menstrual cramping.

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