ICD-10 Coding for Abnormal Menstrual Bleeding(N92.0, N92.1, N93.8)
Complete ICD-10-CM coding and documentation guide for Abnormal Menstrual Bleeding. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Abnormal Menstrual Bleeding
N92-N93Primary Range
Excessive, frequent and irregular menstruation
This range includes codes for various types of abnormal menstrual bleeding, including menorrhagia and irregular cycles.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N92.0 | Excessive and frequent menstruation with regular cycle | Use when cycles are regular but bleeding is excessive. |
|
| N92.1 | Excessive and frequent menstruation with irregular cycle | Use for irregular cycles with excessive bleeding. |
|
| N93.8 | Other specified abnormal uterine and vaginal bleeding | Use for non-menstrual bleeding such as postcoital or intermenstrual. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for abnormal menstrual bleeding
Essential facts and insights about Abnormal Menstrual Bleeding
Primary ICD-10-CM Codes for abnormal menstrual bleeding
Decision Criteria
clinical Criteria
- Regular menstrual cycles with excessive bleeding
Applicable To
- Menorrhagia with regular cycle
Excludes
- Irregular menstruation (N92.1)
Clinical Validation Requirements
- Regular cycles (21–35 days) with bleeding >7 days
- Hourly pad/tampon changes
Code-Specific Risks
- Incorrectly coding as irregular cycle when cycles are regular
Coding Notes
- Ensure cycle regularity is documented.
N92.1 - Excessive and frequent menstruation with irregular cycle
Use for irregular cycles with excessive bleeding.
Applicable To
- Menorrhagia with irregular cycle
Excludes
- Regular menstruation (N92.0)
Clinical Validation Requirements
- Irregular cycles (<21 or >35 days)
- Heavy bleeding with clots
Coding Notes
Document cycle irregularity clearly.
N93.8 - Other specified abnormal uterine and vaginal bleeding
Use for non-menstrual bleeding such as postcoital or intermenstrual.
Applicable To
- Postcoital bleeding
- Intermenstrual bleeding
Excludes
- Menstrual bleeding (N92.x)
Clinical Validation Requirements
- Bleeding unrelated to menstrual cycle
- Normal cervical exam
Coding Notes
Ensure bleeding is not related to menstrual cycle.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Iron deficiency anemia secondary to blood loss
D50.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Abnormal Menstrual Bleeding to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N92.0.
Impact
Clinical: Leads to incorrect diagnosis and treatment., Regulatory: Increases risk of non-compliance with coding standards., Financial: May result in claim denials or reduced reimbursement.
Mitigation Strategy
Use detailed templates for documentation., Train staff on specific documentation requirements.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Increases risk of audit findings., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Ensure documentation supports specific code selection.
Impact
High risk of audit if unspecified codes are used without justification.
Mitigation Strategy
Ensure documentation supports the use of specific codes.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Abnormal Menstrual Bleeding, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Abnormal Menstrual Bleeding
Use these documentation templates to ensure complete and accurate documentation for Abnormal Menstrual Bleeding. These templates include all required elements for proper coding and billing.
Menorrhagia with anemia
Specialty: OB/GYNRequired Elements
- Menstrual cycle regularity
- Bleeding duration and volume
- Presence of clots
- Associated symptoms
- Lab results (Hgb, Ferritin)
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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