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v1.0.0
ICD-10 Guide
DiagnosesAbnormal Bleeding

Abnormal Bleeding

ICD-10 Coding for Abnormal Bleeding(N93.9, N92.4)

PRIMARY SPECIALTYGynecology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Abnormal Bleeding?
Essential facts and insights about Abnormal Bleeding

Key Clinical Considerations:

  • Presence of heavy or prolonged menstrual bleeding
  • Bleeding between periods or after sexual intercourse

Clinical Information

Clinical Criteria & Documentation Requirements

  • Specific details about the bleeding, including duration, frequency, and severity
  • Any associated symptoms or conditions

Coding Guidelines

Usage Guidelines & Examples

  • N93.9 is a nonspecific code for abnormal uterine and vaginal bleeding, while N92.4 is for excessive bleeding in the premenopausal period
  • N93.9 can be used when the location of the bleeding is not specified

Code Exclusions

Important Exclusions

  • Postmenopausal bleeding (N95.0)
  • Functional disorders of polymenorrhea (N92.1)

Related ICD-10 Codes

Primary Codes
N93.9
Abnormal uterine and vaginal bleeding, unspecified
N92.4
Excessive bleeding in the premenopausal period
Ancillary Codes
D68.9
Differential Codes
N95.0
N95.0
for bleeding occurring after menopause.
N92.5
N92.5
for irregular menstrual cycles.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Gynecology

Specialty Applications

  • Women experiencing heavy or prolonged menstrual bleeding
  • Women who bleed between periods or after sexual intercourse

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Template 1

Patient presents with abnormal uterine and vaginal bleeding of [specify duration, frequency, and severity].

Template 2

Patient reports bleeding between periods and/or after sexual intercourse.

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What is considered 'abnormal' bleeding?

Abnormal bleeding can refer to heavy or prolonged menstrual bleeding, or bleeding between periods or after sexual intercourse.

When should this code be used?

These codes should be used when a patient presents with abnormal uterine or vaginal bleeding, but the specific cause or location of the bleeding is not known.