Amenorrhea, unspecified
ICD-10 N91.2 is a billable code used to indicate a diagnosis of amenorrhea, unspecified.
Amenorrhea is defined as the absence of menstruation, which can be classified as primary or secondary. Primary amenorrhea refers to the absence of menstruation by age 15 in the presence of normal secondary sexual characteristics or by age 13 in the absence of secondary sexual characteristics. Secondary amenorrhea is defined as the cessation of menstruation for three consecutive cycles or for six months in women who have previously menstruated. The causes of amenorrhea can be varied, including hormonal imbalances, structural abnormalities, stress, excessive exercise, and significant weight loss or gain. In some cases, amenorrhea may be a symptom of underlying conditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or pituitary tumors. The unspecified designation of N91.2 indicates that the specific cause of amenorrhea has not been determined or documented, which can complicate diagnosis and treatment. Accurate coding is essential for appropriate management and treatment planning, particularly in the context of reproductive health and fertility considerations.
Detailed menstrual history, physical examination findings, and any relevant laboratory results.
Evaluation of a patient presenting with missed periods, assessment of hormonal levels, and management of underlying conditions.
Consideration of reproductive health implications and potential fertility treatments.
Thorough assessment of hormonal profiles, including thyroid function tests and pituitary hormone levels.
Diagnosis and management of amenorrhea related to endocrine disorders such as hypothyroidism or hyperprolactinemia.
Integration of hormonal therapy and monitoring of treatment response.
Used when evaluating abnormal uterine bleeding or amenorrhea.
Indication for the procedure and results of prior evaluations.
Gynecologists should document the rationale for the biopsy clearly.
Primary amenorrhea is when a girl has not started menstruating by age 15 or by age 13 without secondary sexual characteristics. Secondary amenorrhea is when a woman who has previously menstruated stops having periods for three consecutive cycles or for six months.
