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ICD-10 Guide
ICD-10 CodesN94.89

N94.89

Billable

Other specified conditions associated with female genital organs and menstrual cycle

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

Code Description

ICD-10 N94.89 is a billable code used to indicate a diagnosis of other specified conditions associated with female genital organs and menstrual cycle.

Key Diagnostic Point:

N94.89 encompasses a variety of conditions that affect the female genital organs and menstrual cycle, which may not be classified under more specific codes. This includes menstrual disorders such as dysmenorrhea (painful menstruation), oligomenorrhea (infrequent menstruation), and amenorrhea (absence of menstruation). Additionally, it covers menopausal disorders, including perimenopausal symptoms and complications arising from artificial fertilization procedures. Female infertility, which can stem from various factors including hormonal imbalances, anatomical abnormalities, or unexplained reasons, is also included under this code. The complexity of these conditions often requires thorough documentation and understanding of the patient's reproductive health history, as well as the impact of these conditions on their overall well-being. Accurate coding is essential for appropriate treatment planning and insurance reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions included under the code
  • Need for detailed patient history and documentation
  • Potential overlap with other codes
  • Variability in clinical presentation

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to specify the underlying condition
  • Misuse of the code for more specific diagnoses
  • Lack of clarity in treatment plans

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed patient history, including menstrual cycle patterns, symptoms, and any treatments attempted.

Common Clinical Scenarios

Patients presenting with irregular menstrual cycles, menopausal symptoms, or infertility evaluations.

Billing Considerations

Ensure that all relevant diagnostic tests and treatments are documented to support the use of N94.89.

Reproductive Endocrinology

Documentation Requirements

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

Common Clinical Scenarios

Patients undergoing fertility treatments or evaluations for unexplained infertility.

Billing Considerations

Document all aspects of the fertility workup and any artificial fertilization procedures performed.

Coding Guidelines

Inclusion Criteria

Use N94.89 When
  • According to ICD
  • 10 guidelines, N94
  • 89 should be used when a specific condition affecting the female genital organs or menstrual cycle is not classified elsewhere
  • Coders should ensure that the documentation supports the use of this code and that it is not used inappropriately for more specific diagnoses

Exclusion Criteria

Do NOT use N94.89 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58150CPT Code

Total abdominal hysterectomy

Clinical Scenario

Used in cases where severe menstrual disorders necessitate surgical intervention.

Documentation Requirements

Operative report detailing the indication for surgery and any preoperative evaluations.

Specialty Considerations

Obstetricians should ensure that the diagnosis aligns with the surgical procedure performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of conditions related to female reproductive health, improving the specificity and accuracy of diagnoses. N94.89 provides a means to capture a variety of menstrual and reproductive health issues that may not fit neatly into other categories.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of conditions related to female reproductive health, improving the specificity and accuracy of diagnoses. N94.89 provides a means to capture a variety of menstrual and reproductive health issues that may 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 N94.89 instead of a more specific code?

N94.89 should be used when the patient's condition does not fit into a more specific category or when multiple conditions are present that affect the menstrual cycle or reproductive health.