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v1.0.0
ICD-10 Guide
DiagnosesMenorrhagia

Menorrhagia

ICD-10 Coding for Menorrhagia(N92.0, N92.2)

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

Diagnosis Overview

What is Menorrhagia?
Essential facts and insights about Menorrhagia

Key Clinical Considerations:

  • Excessive menstrual bleeding lasting more than 7 days
  • Bleeding between periods or after intercourse
  • Anemia symptoms such as fatigue or weakness

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient's menstrual history including duration and volume of bleeding
  • Results of any imaging studies or lab tests (e.g., CBC, ultrasound)
  • Physical exam findings related to pelvic examination

Coding Guidelines

Usage Guidelines & Examples

  • Use N92.0 for regular cycles and N92.1 for irregular cycles.
  • Common errors include using general codes instead of specific ones.

Code Exclusions

Important Exclusions

  • Menstrual disorders due to hormonal imbalances
  • Conditions like uterine fibroids or polyps that may cause similar symptoms

Related ICD-10 Codes

Primary Codes
N92.0
Excessive and frequent menstruation with regular cycle
N92.1
Excessive and frequent menstruation with irregular cycle
N92.2
Excessive menstruation, unspecified
Ancillary Codes
D50.0
Differential Codes
N92.1
N92.1
when menstrual cycles are irregular.
N92.0
N92.0
for regular cycles not specifically related to puberty.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Gynecology

Specialty Applications

  • Women of reproductive age experiencing abnormal bleeding
  • 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

Documentation requirements?

Document the frequency, duration, and volume of menstrual bleeding.

Billing considerations?

Ensure accurate coding to reflect the severity and underlying causes.