Abnormal uterine and vaginal bleeding, unspecified
ICD-10 N93.9 is a billable code used to indicate a diagnosis of abnormal uterine and vaginal bleeding, unspecified.
Abnormal uterine and vaginal bleeding encompasses a range of conditions characterized by bleeding that deviates from the normal menstrual cycle. This can include heavy menstrual bleeding (menorrhagia), bleeding between periods (intermenstrual bleeding), or postmenopausal bleeding. The causes of abnormal bleeding can be multifactorial, including hormonal imbalances, structural abnormalities such as fibroids or polyps, infections, and malignancies. In the context of menstrual disorders, abnormal bleeding can significantly impact a woman's quality of life and may be associated with conditions like polycystic ovary syndrome (PCOS) or endometriosis. Menopausal disorders may also present with abnormal bleeding patterns as women transition through perimenopause to menopause. In cases of female infertility, abnormal bleeding can complicate the assessment of ovulatory function and overall reproductive health. Additionally, complications arising from artificial fertilization procedures may lead to abnormal bleeding, necessitating careful evaluation and management. Accurate diagnosis and treatment are essential to address the underlying causes and improve reproductive outcomes.
Detailed patient history, including menstrual cycle patterns, any associated symptoms, and previous gynecological history.
Patients presenting with heavy menstrual bleeding, irregular cycles, or postmenopausal bleeding.
Ensure that all relevant diagnostic tests (e.g., ultrasounds, biopsies) are documented to support the diagnosis.
Comprehensive evaluation of hormonal levels, menstrual history, and infertility assessments.
Patients undergoing fertility treatments who experience abnormal bleeding.
Document any interventions or treatments related to fertility that may influence bleeding patterns.
Used when abnormal bleeding is suspected to be due to endometrial pathology.
Document indications for the biopsy and any findings.
Ensure that the procedure is linked to the diagnosis of abnormal bleeding.
N93.9 should be used when a patient presents with abnormal uterine or vaginal bleeding, and the specific cause has not been identified or documented. It is important to ensure that all relevant clinical information is available to support the use of this unspecified code.
