Premenstrual tension syndrome
ICD-10 N94.3 is a billable code used to indicate a diagnosis of premenstrual tension syndrome.
Premenstrual tension syndrome (PMTS) is a condition characterized by a range of physical and emotional symptoms that occur in the luteal phase of the menstrual cycle, typically resolving with the onset of menstruation. Symptoms may include mood swings, irritability, anxiety, depression, fatigue, and physical symptoms such as bloating, breast tenderness, and headaches. The severity of symptoms can vary significantly among individuals, and while some may experience mild discomfort, others may find their daily functioning severely impaired. The exact etiology of PMTS is not fully understood, but it is believed to involve hormonal fluctuations, particularly involving estrogen and progesterone, as well as neurotransmitter changes. Diagnosis is primarily clinical, based on symptom tracking and exclusion of other conditions. Treatment options may include lifestyle modifications, dietary changes, pharmacological interventions such as antidepressants or hormonal therapies, and cognitive-behavioral therapy. Accurate coding is essential for appropriate management and reimbursement, as PMTS can significantly impact a woman's quality of life and overall reproductive health.
Detailed symptom diaries, treatment plans, and follow-up notes are essential for accurate coding.
Patients presenting with cyclical mood changes, physical symptoms related to the menstrual cycle, and those seeking treatment for PMTS.
Consideration of comorbid conditions such as anxiety or depression that may complicate the diagnosis.
Comprehensive mental health assessments and treatment notes to differentiate PMTS from primary mood disorders.
Patients with significant mood disturbances linked to their menstrual cycle.
Careful evaluation of the timing of symptoms in relation to the menstrual cycle is crucial.
Used for follow-up visits for PMTS management.
Document symptom severity, treatment response, and any changes in management.
Obstetricians and gynecologists should ensure comprehensive documentation of menstrual history.
PMTS specifically refers to the tension and emotional symptoms associated with the premenstrual phase, while PMS encompasses a broader range of physical and emotional symptoms that may not include tension.
