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ICD-10 Guide
ICD-10 CodesN93.8

N93.8

Billable

Other specified abnormal uterine and vaginal bleeding

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

Code Description

ICD-10 N93.8 is a billable code used to indicate a diagnosis of other specified abnormal uterine and vaginal bleeding.

Key Diagnostic Point:

N93.8 refers to abnormal uterine and vaginal bleeding that does not fall under more specific categories defined in the ICD-10 coding system. This code encompasses a variety of conditions that may lead to irregular bleeding patterns, including but not limited to menstrual disorders such as menorrhagia (heavy menstrual bleeding), oligomenorrhea (infrequent menstrual periods), and amenorrhea (absence of menstruation). It also includes bleeding associated with menopausal disorders, which may manifest as irregular bleeding patterns during the perimenopausal phase. Additionally, this code can be relevant in cases of female infertility where abnormal bleeding may be a symptom of underlying reproductive health issues. Complications arising from artificial fertilization procedures, such as in vitro fertilization (IVF), may also lead to abnormal bleeding, necessitating the use of this code. Accurate documentation of the patient's history, symptoms, and any relevant diagnostic findings is crucial for proper coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to abnormal bleeding.
  • Need for detailed clinical documentation to specify the nature of the bleeding.
  • Potential overlap with other codes for abnormal bleeding.
  • Variability in clinical presentation among patients.

Audit Risk Factors

  • Insufficient documentation of the cause of bleeding.
  • Failure to link the diagnosis with appropriate treatment.
  • Inconsistent coding of related conditions.
  • Lack of clarity in clinical notes regarding the patient's menstrual history.

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed menstrual history, physical examination findings, and any diagnostic tests performed.

Common Clinical Scenarios

Patients presenting with irregular menstrual cycles, heavy bleeding, or bleeding post-menopause.

Billing Considerations

Ensure that all relevant symptoms and potential causes are documented to support the use of N93.8.

Reproductive Endocrinology

Documentation Requirements

Comprehensive evaluation of hormonal levels, imaging studies, and treatment history.

Common Clinical Scenarios

Infertility assessments where abnormal bleeding is a symptom.

Billing Considerations

Link abnormal bleeding to infertility treatments or hormonal therapies when applicable.

Coding Guidelines

Inclusion Criteria

Use N93.8 When
  • According to ICD
  • 10 guidelines, N93
  • 8 should be used when the specific cause of abnormal bleeding is not documented
  • Coders should ensure that all relevant clinical information is captured to justify the use of this code
  • It is important to note that this code should not be used if a more specific diagnosis is available

Exclusion Criteria

Do NOT use N93.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58120CPT Code

Endometrial biopsy

Clinical Scenario

Used when abnormal bleeding is suspected to be due to endometrial pathology.

Documentation Requirements

Indication for biopsy, patient history, and findings from prior evaluations.

Specialty Considerations

Obstetricians should document the rationale for the procedure clearly.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of abnormal uterine and vaginal bleeding, improving the granularity of data collected for research and treatment outcomes. N93.8 provides flexibility for coders to capture cases that do not fit neatly into other categories.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of abnormal uterine and vaginal bleeding, improving the granularity of data collected for research and treatment outcomes. N93.8 provides flexibility for coders to capture cases that do not fit neatly into other categories.

Reimbursement & Billing Impact

reimbursement.

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

When should I use N93.8 instead of a more specific code?

N93.8 should be used when the cause of abnormal bleeding is not specified or when the clinical documentation does not support a more specific diagnosis. Always ensure that the documentation is thorough to justify the use of this code.