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Home/Diagnosis/ICD-10 Coding for Symptomatic Menopause

ICD-10 Coding for Symptomatic Menopause

N95.1
E28.310

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

Also Known as:
Menopausal Syndrome
Climacteric Syndrome
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Key Information: ICD-10 Coding for Symptomatic Menopause

Essential facts and insights about ICD-10 Coding for Symptomatic Menopause

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 menopausal symptoms
documentation:
  • • Document specific symptoms and their impact

Applicable To

  • • Hot flashes
  • • Insomnia
  • • Mood swings

Important Notes

  • • Ensure symptoms are documented clearly to justify N95.1.

Symptomatic premature menopause

Billable Code
E28.310
Billable

Diagnostic Criteria

clinical:
  • • FSH >40 mIU/mL
  • • Age <40

Applicable To

  • • Premature ovarian insufficiency with symptoms

Important Notes

  • • Confirm with lab tests and age criteria.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.890

Hormone replacement therapy

Use when the patient is on long-term hormone therapy.

Frequently Asked Questions

What is the ICD-10 code for symptomatic menopause?

The ICD-10 code for symptomatic menopause is N95.1, used when a patient presents with symptoms like hot flashes and insomnia.

How do you code premature menopause with symptoms?

For symptomatic premature menopause, use ICD-10 code E28.310, applicable for patients under 40 with confirmed lab results.

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