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Home/Diagnosis/ICD-10 Coding for Menstrual Pain

ICD-10 Coding for Menstrual Pain

N94.4
N94.5
R10.2

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

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

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

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:
  • • Pain is cyclic and no organic cause is identified.

Applicable To

  • • Cyclic pain without underlying pathology

Important Notes

  • • Ensure no underlying condition is present before using this code.

Secondary dysmenorrhea

Billable Code
N94.5
Billable

Applicable To

  • • Pain with confirmed etiology

Important Notes

  • • Always document and code the underlying condition first.

Pelvic and perineal pain

Billable Code
R10.2
Billable

Applicable To

  • • Non-cyclic pelvic pain

Important Notes

  • • Ensure pain is not linked to menstrual cycle before using.
Ancillary Codes

Additional codes that may be used with this diagnosis

R10.31

Right lower quadrant pain

Use if specific abdominal pain location is documented.

N80.0

Endometriosis

Use as primary code when endometriosis is the underlying cause.

Frequently Asked Questions

How is primary dysmenorrhea coded in ICD-10?

Primary dysmenorrhea is coded as N94.4 in ICD-10, used when menstrual pain occurs without an underlying condition.

What is the ICD-10 code for secondary dysmenorrhea?

Secondary dysmenorrhea is coded as N94.5, used when menstrual pain is due to an underlying condition like endometriosis.

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