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Home/Diagnosis/ICD-10 Coding for Perimenopause Symptoms

ICD-10 Coding for Perimenopause Symptoms

N95.1
N92.4

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

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

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

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

clinical:
  • • Presence of vasomotor symptoms and irregular cycles
coding:
  • • Excludes artificial menopause
documentation:
  • • FSH and estradiol levels documented

Applicable To

  • • Vasomotor symptoms
  • • Mood swings
  • • Irregular cycles

Important Notes

  • • Ensure documentation specifies 'natural age-related perimenopause' to support N95.1.

Excessive bleeding in the premenopausal period

Billable Code
N92.4
Billable

Diagnostic Criteria

clinical_validation_requirements:
  • • Documented irregular bleeding
  • • Endometrial thickness <5mm on ultrasound

Applicable To

  • • Menorrhagia
  • • Metrorrhagia

Important Notes

  • • Ensure bleeding is documented as occurring during the perimenopausal phase.
Ancillary Codes

Additional codes that may be used with this diagnosis

F32.9

Major depressive disorder, single episode, unspecified

Use when depression is linked to perimenopausal changes.

F41.9

Anxiety disorder, unspecified

Use when anxiety is linked to perimenopausal changes.

Frequently Asked Questions

What is the ICD-10 code for perimenopause symptoms?

The ICD-10 code for perimenopause symptoms is N95.1, which covers natural menopausal and climacteric states, including vasomotor symptoms and mood swings.

How do you code irregular bleeding during perimenopause?

Irregular bleeding during perimenopause is coded as N92.4, which includes excessive or irregular menstruation in the premenopausal period.

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