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ICD-10 Guide
ICD-10 CodesN94.8

N94.8

Billable

Other specified conditions associated with female genital organs and menstrual cycle

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

Code Description

ICD-10 N94.8 is a billable code used to indicate a diagnosis of other specified conditions associated with female genital organs and menstrual cycle.

Key Diagnostic Point:

N94.8 encompasses a variety of conditions that affect the female genital organs and menstrual cycle, which are not classified under more specific codes. This includes menstrual disorders such as dysmenorrhea (painful menstruation), oligomenorrhea (infrequent menstruation), and amenorrhea (absence of menstruation). It also covers menopausal disorders, including symptoms like hot flashes and mood changes. Female infertility issues, such as anovulation or unexplained infertility, may also fall under this code, particularly when they do not fit neatly into other categories. Additionally, complications arising from artificial fertilization procedures, such as ovarian hyperstimulation syndrome (OHSS) or ectopic pregnancies, can be coded here. Overall, N94.8 serves as a catch-all for various reproductive health issues that impact women, requiring careful documentation to ensure accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions that can be coded under this category
  • Need for precise documentation to differentiate between similar conditions
  • Potential overlap with other codes, leading to confusion
  • Variability in clinical presentation and treatment options

Audit Risk Factors

  • Inadequate documentation of the specific condition being treated
  • Misuse of the code for conditions that have more specific codes available
  • Lack of clarity in the clinical notes regarding the patient's symptoms
  • Failure to document the relationship between the condition and treatment provided

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed clinical notes outlining the patient's symptoms, diagnosis, and treatment plan.

Common Clinical Scenarios

Patients presenting with menstrual irregularities, menopausal symptoms, or infertility issues.

Billing Considerations

Ensure that all relevant tests and evaluations are documented to support the diagnosis.

Reproductive Endocrinology

Documentation Requirements

Comprehensive records of hormonal assessments, imaging studies, and treatment protocols.

Common Clinical Scenarios

Patients undergoing fertility treatments or evaluations for unexplained infertility.

Billing Considerations

Document any complications from procedures like IVF to justify the use of N94.8.

Coding Guidelines

Inclusion Criteria

Use N94.8 When
  • According to ICD
  • 10 guidelines, N94
  • 8 should be used when a specific condition affecting the female genital organs or menstrual cycle is not classified elsewhere
  • Coders must ensure that the documentation supports the use of this code and that it is not used when a more specific code is available

Exclusion Criteria

Do NOT use N94.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58150CPT Code

Endometrial biopsy

Clinical Scenario

Used when evaluating abnormal uterine bleeding.

Documentation Requirements

Document the reason for the biopsy and findings.

Specialty Considerations

Obstetricians should ensure that the biopsy results are linked to the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions related to female reproductive health, including N94.8. This code provides flexibility for conditions that do not fit neatly into other categories, but it requires careful documentation to avoid misclassification.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions related to female reproductive health, including N94.8. This code provides flexibility for conditions that do not fit neatly into other categories, but it requires careful documentation to avoid misclassification.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions related to female reproductive health, including N94.8. This code provides flexibility for conditions that do not fit neatly into other categories, but it requires careful documentation to avoid misclassification.

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 conditions can be coded under N94.8?

N94.8 can be used for various menstrual disorders, menopausal symptoms, female infertility issues, and complications from artificial fertilization that do not have a more specific code.