Absent, scanty and rare menstruation
Chapter 14:Diseases of the genitourinary system
ICD-10 N91 is a used to indicate a diagnosis of absent, scanty and rare menstruation.
The ICD-10 Level 1 Category code N91 encompasses conditions related to absent, scanty, and rare menstruation. This category includes amenorrhea, oligomenorrhea, and other menstrual irregularities that may indicate underlying health issues such as hormonal imbalances, stress, or structural abnormalities in the reproductive system. Clinically, these conditions can significantly affect a patient's quality of life, fertility, and overall health, necessitating thorough evaluation and management. It is essential for healthcare providers to recognize the implications of these menstrual irregularities, as they may be symptomatic of more serious health concerns that require intervention.
Detailed menstrual history, physical examination findings, hormonal assay results, and any imaging studies.
Evaluation of patients presenting with amenorrhea, oligomenorrhea, or irregular menstrual cycles; management of patients with polycystic ovary syndrome (PCOS); and assessment of reproductive health concerns.
Ensure to differentiate between primary and secondary amenorrhea, and document any relevant comorbidities affecting menstrual health.
Thorough hormonal panel results, patient history regarding endocrine disorders, and any relevant imaging or lab results.
Assessment of patients with hormonal imbalances, such as thyroid disorders or adrenal insufficiency, that may lead to abnormal menstruation.
Pay special attention to documenting the etiology of menstrual irregularities, especially in patients with known endocrine disorders.
Comprehensive medical history including stress factors, medication history, and any systemic illnesses.
Management of systemic illnesses that may contribute to menstrual irregularities, and evaluation of stress-related amenorrhea.
Document any psychosocial factors that may be influencing the patient's menstrual cycle.
Detailed fertility assessments, hormonal evaluations, and reproductive health history.
Investigation of infertility issues related to absent or irregular menstruation, and treatment planning.
Ensure to document any assisted reproductive techniques attempted and their outcomes.
Patient history, examination, and medical decision-making details.
Justification for the test based on clinical findings.
Indication for the ultrasound and findings from the procedure.
Indication for IUD use and consent documentation.
Detailed notes on ongoing management and patient progress.
N91 includes amenorrhea (absence of menstruation), oligomenorrhea (infrequent menstruation), and other related menstrual disorders that may arise from hormonal imbalances, stress, or anatomical issues.
N91 codes should be used when documenting cases of absent, scanty, or rare menstruation, particularly when these conditions are clinically significant and warrant further investigation or treatment.
Documentation should include a detailed patient history, physical examination findings, any diagnostic tests performed, and a clear rationale for the diagnosis of absent or scanty menstruation.
