Excessive bleeding in the premenopausal period
ICD-10 N92.4 is a billable code used to indicate a diagnosis of excessive bleeding in the premenopausal period.
Excessive bleeding in the premenopausal period, classified under N92.4, refers to abnormal uterine bleeding that occurs in women who have not yet reached menopause. This condition can manifest as heavy menstrual bleeding (menorrhagia) or bleeding that occurs outside of the normal menstrual cycle (intermenstrual bleeding). The causes of excessive bleeding can vary widely, including hormonal imbalances, uterine fibroids, polyps, adenomyosis, and certain medical conditions such as thyroid disorders or clotting disorders. It is essential for healthcare providers to conduct a thorough evaluation to determine the underlying cause of the bleeding, which may involve a detailed medical history, physical examination, and diagnostic imaging or laboratory tests. Treatment options may include hormonal therapies, medications to manage bleeding, or surgical interventions depending on the severity and underlying cause. Accurate coding of this condition is crucial for appropriate treatment and reimbursement, as it reflects the complexity of the patient's reproductive health and the need for targeted interventions.
Detailed menstrual history, physical examination findings, and results of any imaging or laboratory tests.
Patients presenting with heavy menstrual bleeding, irregular cycles, or bleeding after intercourse.
Ensure that all relevant symptoms and potential underlying conditions are documented to support the diagnosis.
Comprehensive patient history, including menstrual cycle details and any associated symptoms.
Initial evaluation of patients with complaints of abnormal bleeding.
Referral to a specialist may be necessary for further evaluation and management.
When an endometrial biopsy is performed to evaluate the cause of excessive bleeding.
Indication for the biopsy, consent, and results of any prior imaging or tests.
Ensure that the procedure is documented in the context of the patient's overall treatment plan.
Common causes include hormonal imbalances, uterine fibroids, polyps, adenomyosis, and systemic conditions such as thyroid disorders or clotting disorders.
Diagnosis typically involves a detailed medical history, physical examination, and may include imaging studies or laboratory tests to identify underlying causes.
