Other specified abnormal uterine and vaginal bleeding
ICD-10 N93.8 is a billable code used to indicate a diagnosis of other specified abnormal uterine and vaginal bleeding.
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.
Detailed menstrual history, physical examination findings, and any diagnostic tests performed.
Patients presenting with irregular menstrual cycles, heavy bleeding, or bleeding post-menopause.
Ensure that all relevant symptoms and potential causes are documented to support the use of N93.8.
Comprehensive evaluation of hormonal levels, imaging studies, and treatment history.
Infertility assessments where abnormal bleeding is a symptom.
Link abnormal bleeding to infertility treatments or hormonal therapies when applicable.
Used when abnormal bleeding is suspected to be due to endometrial pathology.
Indication for biopsy, patient history, and findings from prior evaluations.
Obstetricians should document the rationale for the procedure clearly.
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.