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ICD-10 Guide
ICD-10 CodesN92.0

N92.0

Billable

Excessive and frequent menstruation with regular cycle

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

Code Description

ICD-10 N92.0 is a billable code used to indicate a diagnosis of excessive and frequent menstruation with regular cycle.

Key Diagnostic Point:

Excessive and frequent menstruation with regular cycle, classified under ICD-10 code N92.0, refers to a condition where a woman experiences menstrual bleeding that is both excessive in volume and frequent in occurrence, yet maintains a regular cycle. This condition can manifest as menorrhagia (heavy menstrual bleeding) and polymenorrhea (frequent menstrual periods), which can significantly impact a woman's quality of life and reproductive health. The etiology may include hormonal imbalances, uterine fibroids, polyps, or other underlying gynecological disorders. Diagnosis typically involves a thorough medical history, physical examination, and may include imaging studies or laboratory tests to rule out other causes of abnormal bleeding. Management strategies may vary from lifestyle modifications and medication to surgical interventions, depending on the severity and underlying cause. Understanding this condition is crucial for addressing menstrual disorders, female infertility, and complications related to reproductive health, especially in the context of artificial fertilization and menopausal disorders.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between excessive bleeding and frequent menstruation
  • Need for comprehensive patient history to identify underlying causes
  • Potential overlap with other menstrual disorders
  • Variability in treatment approaches based on individual patient factors

Audit Risk Factors

  • Inadequate documentation of menstrual history
  • Failure to specify the nature of excessive bleeding
  • Misclassification of menstrual disorders
  • Lack of supporting diagnostic tests

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed menstrual history, physical examination findings, and results of any imaging or laboratory tests.

Common Clinical Scenarios

Patients presenting with heavy menstrual bleeding, irregular cycles, or symptoms of anemia.

Billing Considerations

Ensure accurate documentation of the menstrual cycle's regularity and any associated symptoms.

Reproductive Endocrinology

Documentation Requirements

Comprehensive hormonal assessments and fertility evaluations.

Common Clinical Scenarios

Patients seeking fertility treatment who have a history of excessive menstruation.

Billing Considerations

Document any hormonal therapies or interventions that may affect menstrual patterns.

Coding Guidelines

Inclusion Criteria

Use N92.0 When
  • According to ICD
  • 10 guidelines, N92
  • 0 should be used when the patient presents with excessive and frequent menstruation while maintaining a regular cycle
  • It is essential to document the frequency and volume of menstrual bleeding accurately

Exclusion Criteria

Do NOT use N92.0 When
  • Exclusion criteria include conditions that cause irregular cycles or other specific menstrual disorders

Related ICD-10 Codes

Related CPT Codes

58150CPT Code

Endometrial biopsy

Clinical Scenario

When evaluating excessive menstrual bleeding.

Documentation Requirements

Indication for biopsy and results of prior evaluations.

Specialty Considerations

Ensure alignment with gynecological assessments.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of menstrual disorders, improving the ability to capture the nuances of conditions like N92.0. This specificity aids in better patient management and targeted treatment strategies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of menstrual disorders, improving the ability to capture the nuances of conditions like N92.0. This specificity aids in better patient management and targeted treatment strategies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of menstrual disorders, improving the ability to capture the nuances of conditions like N92.0. This specificity aids in better patient management and targeted treatment strategies.

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

What are the common causes of excessive and frequent menstruation?

Common causes include hormonal imbalances, uterine fibroids, polyps, and certain systemic conditions. A thorough evaluation is necessary to determine the underlying cause.