Excessive, frequent and irregular menstruation
Chapter 14:Diseases of the genitourinary system
ICD-10 N92 is a billable code used to indicate a diagnosis of excessive, frequent and irregular menstruation.
Excessive, frequent, and irregular menstruation encompasses a range of menstrual disorders characterized by abnormal uterine bleeding patterns. This condition can manifest as menorrhagia (heavy menstrual bleeding), polymenorrhea (frequent menstrual cycles), or oligomenorrhea (infrequent menstrual cycles). The underlying causes may include hormonal imbalances, uterine fibroids, polyps, endometriosis, or systemic conditions such as thyroid disorders. Patients may experience significant physical and emotional distress due to the unpredictability and severity of their menstrual cycles. Accurate diagnosis often requires a thorough medical history, physical examination, and possibly imaging studies or laboratory tests to identify the underlying etiology. Treatment options vary widely and may include hormonal therapies, surgical interventions, or lifestyle modifications, depending on the severity and cause of the symptoms. Understanding the nuances of this condition is crucial for effective management and coding.
Detailed menstrual history, physical examination findings, and results of any imaging or lab tests.
Patients presenting with heavy bleeding, irregular cycles, or associated symptoms like pain or fatigue.
Ensure that all relevant symptoms and their impact on quality of life are documented to support the diagnosis.
Thorough evaluation of hormonal levels and related endocrine disorders.
Patients with suspected hormonal imbalances affecting menstrual cycles.
Document any endocrine evaluations performed and their results to justify the diagnosis.
Used when evaluating abnormal uterine bleeding.
Document the reason for the biopsy and any findings.
Ensure that the procedure is linked to the diagnosis of N92.
Common causes include hormonal imbalances, uterine fibroids, polyps, endometriosis, and systemic conditions such as thyroid disorders. A thorough evaluation is necessary to determine the underlying cause.
