Excessive and frequent menstruation with irregular cycle
ICD-10 N92.1 is a billable code used to indicate a diagnosis of excessive and frequent menstruation with irregular cycle.
Excessive and frequent menstruation with irregular cycle, classified under N92.1, refers to a condition where a woman experiences heavy menstrual bleeding (menorrhagia) and irregularities in her menstrual cycle. This condition can manifest as prolonged bleeding, cycles that are shorter or longer than the typical 21-35 days, or unpredictable bleeding patterns. The etiology of this condition can be multifactorial, including hormonal imbalances, uterine abnormalities such as fibroids or polyps, and systemic conditions like thyroid disorders or clotting disorders. It is essential for healthcare providers to conduct a thorough evaluation, including a detailed patient history, physical examination, and possibly imaging studies or laboratory tests, to determine the underlying cause. Management may involve medical therapies such as hormonal treatments or surgical interventions depending on the severity and underlying cause. Accurate coding of this condition is crucial for appropriate treatment and reimbursement.
Detailed menstrual history, physical examination findings, and results of any imaging or laboratory tests.
Patients presenting with heavy menstrual bleeding, irregular cycles, or associated symptoms like pelvic pain.
Ensure that all relevant symptoms and potential underlying conditions are documented to support the diagnosis.
Thorough evaluation of hormonal levels and related endocrine disorders.
Patients with suspected hormonal imbalances contributing to menstrual irregularities.
Document any endocrine evaluations and their results to justify the diagnosis.
Used when surgical intervention is required for excessive bleeding due to structural abnormalities.
Operative report detailing the indication for surgery and findings.
Obstetricians should ensure that the reason for surgery aligns with the diagnosis.
Common causes include hormonal imbalances, uterine fibroids, polyps, endometriosis, and systemic conditions such as thyroid disorders.
N92.1 specifically requires documentation of both excessive bleeding and irregular cycles, while other codes may focus on one aspect.
