ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
DiagnosesHeavy Menstrual Bleeding

Heavy Menstrual Bleeding

ICD-10 Coding for Heavy Menstrual Bleeding(N92.0, N92.1)

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

Diagnosis Overview

What is Heavy Menstrual Bleeding?
Essential facts and insights about Heavy Menstrual Bleeding

Key Clinical Considerations:

  • Menstrual bleeding lasting more than 7 days
  • Bleeding that soaks through one or more sanitary pads or tampons every hour for several consecutive hours
  • Presence of blood clots larger than a quarter
  • Symptoms of anemia such as fatigue or shortness of breath

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including menstrual cycle details and severity of bleeding
  • Physical examination findings related to the abdomen and pelvic area
  • Results of laboratory tests such as complete blood count (CBC) to assess for anemia

Coding Guidelines

Usage Guidelines & Examples

  • Usage guidelines: Use specific codes based on the type of heavy menstrual bleeding.
  • Common errors: Misclassifying the type of bleeding or failing to document severity.

Code Exclusions

Important Exclusions

  • Excluded conditions: Menorrhagia due to uterine fibroids or polyps should be coded separately.
  • Alternative codes: Consider coding for underlying causes if identified, such as hormonal imbalances.

Related ICD-10 Codes

Primary Codes
N92.0
Excessive and frequent menstruation with regular cycle
N92.1
Excessive and frequent menstruation with irregular cycle
N92.2
Excessive menstruation, unspecified
Ancillary Codes
D50.9
E28.2
Differential Codes
N93.8
N93.8
for bleeding not associated with regular cycles.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Gynecology

Specialty Applications

  • Patient populations: Women of reproductive age, particularly those with a history of menstrual disorders.
  • Clinical settings: Gynecology clinics, primary care offices, and emergency departments.

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

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 are the documentation requirements?

Document the frequency, duration, and volume of menstrual bleeding, along with any associated symptoms.

What are the billing considerations?

Ensure accurate coding based on clinical documentation to avoid denials; consider modifiers if applicable.