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v1.0.0
ICD-10 Guide
DiagnosesPostmenopausal Bleeding

Postmenopausal Bleeding

ICD-10 Coding for Postmenopausal Bleeding(N95.0)

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

Diagnosis Overview

What is Postmenopausal Bleeding?
Essential facts and insights about Postmenopausal Bleeding

Key Clinical Considerations:

  • Vaginal bleeding occurring 12 months or more after the last menstrual period
  • Possible associated symptoms: pelvic pain, discharge, or weight loss
  • Physical exam may reveal atrophic vaginitis or uterine abnormalities

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including onset, duration, and characteristics of bleeding
  • Results of pelvic exams and any imaging studies performed
  • Use of specific terms like 'postmenopausal' and 'abnormal uterine bleeding'

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for coding postmenopausal bleeding to differentiate from premenopausal conditions.
  • Common errors include misclassifying the bleeding as related to menstruation rather than postmenopausal.

Code Exclusions

Important Exclusions

  • Conditions such as uterine fibroids, polyps, or malignancies that may cause similar symptoms
  • Alternative codes for premenopausal bleeding or other gynecological disorders

Related ICD-10 Codes

Primary Codes
N95.0
Menopausal and postmenopausal disorders
R87.619
Unspecified abnormal cytological findings in specimens from female genital organs
Ancillary Codes
Z79.890
R93.5
Differential Codes
N95.2
C54.1

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

OB/GYN

Specialty Applications

  • Women aged 50 and older, especially those with risk factors for endometrial pathology
  • OB/GYN clinics, hospitals, and outpatient 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 patient's menstrual history, any associated symptoms, and results from diagnostic tests.

Billing considerations?

Ensure accurate coding to reflect the diagnosis and any procedures performed to avoid claim denials.