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v1.0.0
ICD-10 Guide
DiagnosesIrregular Menstrual Bleeding

Irregular Menstrual Bleeding

ICD-10 Coding for Irregular Menstrual Bleeding(N92.6, N92.5)

PRIMARY SPECIALTYGynecology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Irregular Menstrual Bleeding?
Essential facts and insights about Irregular Menstrual Bleeding

Key Clinical Considerations:

  • Menstrual cycles that are shorter than 21 days or longer than 35 days
  • Menstrual flow that is excessively heavy or light
  • Irregular timing of menstrual periods

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient's menstrual history including cycle length and flow characteristics
  • Any associated symptoms such as pain or hormonal changes
  • Use of specific terms like 'menorrhagia' or 'oligomenorrhea'

Coding Guidelines

Usage Guidelines & Examples

  • Follow usage guidelines for differentiating between types of irregular bleeding.
  • Common errors include using the wrong code for the type of bleeding or failing to document symptoms.

Code Exclusions

Important Exclusions

  • Conditions such as pregnancy-related bleeding or postmenopausal bleeding
  • Alternative codes for specific causes of irregular bleeding like polyps or fibroids

Related ICD-10 Codes

Primary Codes
N92.0
Excessive and frequent menstruation with regular cycle
N92.1
Excessive menstruation with irregular cycle
N92.6
Irregular menstruation, unspecified
Ancillary Codes
E03.1
E28.2
Differential Codes
N92.5
N92.5
when specific cycle irregularities like oligomenorrhea or polymenorrhea are documented.
N92.6
N92.6
when no specific cycle pattern or cause is documented.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Gynecology

Specialty Applications

  • Women of reproductive age experiencing menstrual irregularities
  • Gynecological clinics and primary care settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Document the patient's menstrual history, symptoms, and any relevant diagnostic tests.

What are the billing considerations?

Ensure accurate coding based on the specific type of irregular bleeding and associated symptoms.