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ICD-10 Guide
ICD-10 CodesN92.3

N92.3

Billable

Ovulation bleeding

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N92.3 is a billable code used to indicate a diagnosis of ovulation bleeding.

Key Diagnostic Point:

Ovulation bleeding refers to light spotting or bleeding that occurs around the time of ovulation, typically occurring mid-cycle in women with regular menstrual cycles. This phenomenon is often attributed to hormonal fluctuations, particularly the surge in luteinizing hormone (LH) that triggers ovulation. The bleeding is usually light and may be pink or brown in color, lasting from a few hours to a couple of days. While ovulation bleeding is generally considered a normal occurrence, it can sometimes be confused with other menstrual disorders or conditions such as endometriosis or uterine fibroids. It is important for healthcare providers to differentiate ovulation bleeding from abnormal menstrual bleeding, which may indicate underlying health issues. Accurate diagnosis often involves a thorough patient history, physical examination, and possibly imaging studies or laboratory tests to rule out other causes of bleeding. Understanding ovulation bleeding is crucial in the context of female reproductive health, as it can impact fertility awareness and family planning efforts.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Clear clinical definition with minimal ambiguity
  • Commonly encountered in routine gynecological practice
  • Limited need for extensive diagnostic testing
  • Well-established guidelines for documentation

Audit Risk Factors

  • Inadequate documentation of bleeding characteristics
  • Failure to differentiate from other types of abnormal bleeding
  • Misclassification of ovulation bleeding as abnormal menstruation
  • Lack of patient history regarding menstrual cycle regularity

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed patient history, including menstrual cycle regularity and characteristics of bleeding.

Common Clinical Scenarios

Patients presenting with mid-cycle spotting, inquiries about fertility, or concerns regarding menstrual irregularities.

Billing Considerations

Ensure that ovulation bleeding is documented as a distinct entity from other menstrual disorders to avoid coding errors.

Reproductive Endocrinology

Documentation Requirements

Comprehensive hormonal assessments and fertility evaluations.

Common Clinical Scenarios

Patients undergoing fertility treatments or evaluations for unexplained infertility.

Billing Considerations

Document any hormonal treatments or interventions that may influence ovulation and bleeding patterns.

Coding Guidelines

Inclusion Criteria

Use N92.3 When
  • According to ICD
  • 10 coding guidelines, N92
  • 3 should be used when ovulation bleeding is documented as a distinct clinical finding
  • It is important to ensure that the bleeding is not attributed to other causes such as pregnancy or pathological conditions

Exclusion Criteria

Do NOT use N92.3 When
  • Exclusion criteria include any bleeding that is excessive or associated with significant pain

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used when a patient presents for evaluation of ovulation bleeding.

Documentation Requirements

Document the patient's history, examination findings, and any counseling provided.

Specialty Considerations

Ensure that the visit is coded appropriately based on the complexity of the visit.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of ovulation bleeding, improving the accuracy of data collection and analysis in reproductive health. This specificity aids in better understanding and management of menstrual disorders.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of ovulation bleeding, improving the accuracy of data collection and analysis in reproductive health. This specificity aids in better understanding and management of menstrual disorders.

Reimbursement & Billing Impact

reimbursement and to avoid claim denials.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is ovulation bleeding?

Ovulation bleeding is light spotting that occurs around the time of ovulation, typically mid-cycle, due to hormonal changes.

How can I differentiate ovulation bleeding from other types of bleeding?

Ovulation bleeding is usually light, occurs mid-cycle, and is not associated with significant pain or heavy bleeding.