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Home/Diagnosis/ICD-10 Coding for Perimenopausal Symptoms

ICD-10 Coding for Perimenopausal Symptoms

N95.1
E28.8
Z78.0

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

Also Known as:
Climacteric Symptoms
Menopausal Transition Symptoms
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Key Information: ICD-10 Coding for Perimenopausal Symptoms

Essential facts and insights about ICD-10 Coding for Perimenopausal Symptoms

Use ICD-10 code N95.1 for perimenopausal bleeding, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Perimenopausal bleeding

Billable Code
N95.1
Billable

Diagnostic Criteria

clinical:
  • • Patient reports irregular cycles with symptoms like hot flashes.
coding:
  • • Exclude postmenopausal bleeding if amenorrhea >12 months.

Applicable To

  • • Climacteric bleeding
  • • Menopausal transition bleeding

Important Notes

  • • Ensure documentation specifies perimenopausal status and excludes other causes of bleeding.

Other ovarian dysfunction

Billable Code
E28.8
Billable

Diagnostic Criteria

clinical:
  • • FSH >25 IU/L on 2 separate occasions
  • • Low estradiol levels

Applicable To

  • • Hormonal imbalance
  • • Ovarian dysfunction

Important Notes

  • • Document lab results clearly to support this code.

Asymptomatic menopausal state

Billable Code
Z78.0
Billable

Diagnostic Criteria

clinical:
  • • No reported symptoms
  • • Incidental lab findings

Applicable To

  • • Asymptomatic perimenopause

Important Notes

  • • Ensure no symptoms are documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

E28.8

Other ovarian dysfunction

Use when hormonal dysfunction is confirmed by lab tests.

Frequently Asked Questions

What is the ICD-10 code for perimenopausal symptoms?

The ICD-10 code for perimenopausal symptoms primarily includes N95.1 for perimenopausal bleeding and E28.8 for ovarian dysfunction.

How do you code asymptomatic perimenopause?

Use code Z78.0 for asymptomatic perimenopausal states, ensuring no symptoms are documented.

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