Secondary dysmenorrhea
ICD-10 N94.5 is a billable code used to indicate a diagnosis of secondary dysmenorrhea.
Secondary dysmenorrhea refers to menstrual pain that is caused by an underlying reproductive health condition, rather than being a primary condition itself. This type of dysmenorrhea is often associated with conditions such as endometriosis, pelvic inflammatory disease, fibroids, or adenomyosis. Unlike primary dysmenorrhea, which is typically linked to the menstrual cycle without any identifiable pathology, secondary dysmenorrhea is characterized by pain that may begin earlier in the menstrual cycle and can last longer. Patients may experience symptoms such as severe cramping, lower back pain, and discomfort during intercourse. Diagnosis often involves a thorough medical history, pelvic examination, and imaging studies such as ultrasound or MRI to identify any underlying conditions. Treatment options may include hormonal therapies, pain management strategies, or surgical interventions depending on the underlying cause. Accurate coding of secondary dysmenorrhea is crucial for appropriate management and reimbursement, as it reflects the complexity of the patient's condition and the need for targeted treatment.
Detailed patient history, physical examination findings, imaging results, and treatment plans.
Patients presenting with pelvic pain, abnormal menstrual cycles, or infertility issues.
Ensure all relevant conditions are documented to support the diagnosis of secondary dysmenorrhea.
Comprehensive evaluation of hormonal levels, imaging studies, and fertility assessments.
Patients with infertility linked to dysmenorrhea or other reproductive health issues.
Document any fertility treatments or interventions that may relate to the dysmenorrhea.
Performed for severe secondary dysmenorrhea due to fibroids.
Operative report detailing the indication for surgery and findings.
Gynecologists should ensure clear documentation of the diagnosis and treatment rationale.
Primary dysmenorrhea is menstrual pain not associated with any underlying reproductive health condition, while secondary dysmenorrhea is caused by identifiable conditions such as endometriosis or fibroids.
