Back to HomeBeta

ICD-10 Coding for Abnormal Menstruation(N92.6, N92.1)

Complete ICD-10-CM coding and documentation guide for Abnormal Menstruation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Irregular Menstrual CyclesMenstrual DisordersMenorrhagia

Quick Navigation

Related ICD-10 Code Ranges

Complete code families applicable to Abnormal Menstruation

N92-N93Primary Range

Excessive, frequent and irregular menstruation

This range covers various types of abnormal menstrual bleeding, including excessive, frequent, and irregular menstruation.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
N92.6Irregular menstruation, unspecifiedUse when menstrual cycles are irregular without a specified cause.
  • Documented cycle variability of ≥8 days
  • Absence of specific underlying cause
N92.1Menorrhagia with irregular cycleUse when both heavy bleeding and irregular cycles are documented.
  • Documented heavy bleeding and cycle irregularity
  • Supporting lab results like low hemoglobin

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 irregular menstruation

Essential facts and insights about Abnormal Menstruation

The ICD-10 code for unspecified irregular menstruation is N92.6, used when cycles are irregular without a specific cause.

Primary ICD-10-CM Codes for abnormal menstruation

N92.6
Irregular menstruation, unspecified
Billable Code

Decision Criteria

clinical Criteria

  • Documented irregular cycles without specific cause.

Applicable To

  • Irregular menstrual cycles

Excludes

  • Postmenopausal bleeding (N95.0)
  • Menorrhagia with irregular cycles (N92.1)

Clinical Validation Requirements

  • Documented cycle variability of ≥8 days
  • Absence of specific underlying cause

Code-Specific Risks

  • Risk of under-documentation if cycle variability is not specified.

Coding Notes

  • Ensure cycle irregularity is clearly documented.
View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Uterine fibroid, unspecified

D25.9
Use when fibroids are identified as the cause of menorrhagia.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Menorrhagia with irregular cycle

N92.1
Use N92.1 when heavy bleeding is present with irregular cycles.

Irregular menstruation, unspecified

N92.6
Use N92.6 when only irregular cycles are present without heavy bleeding.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Abnormal Menstruation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N92.6.

Impact

Clinical: May lead to incorrect diagnosis., Regulatory: Could result in audit issues., Financial: Potential for reduced reimbursement.

Mitigation Strategy

Use templates to ensure all necessary details are captured., Regular training on documentation standards.

Impact

Reimbursement: May lead to lower reimbursement rates., Compliance: Could result in compliance issues during audits., Data Quality: Affects the accuracy of clinical data.

Mitigation Strategy

Use a more specific code like N92.1 if heavy bleeding is documented.

Impact

Inadequate documentation of cycle variability can lead to audit findings.

Mitigation Strategy

Use standardized templates and ensure thorough documentation.

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 Menstruation, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Abnormal Menstruation

Use these documentation templates to ensure complete and accurate documentation for Abnormal Menstruation. These templates include all required elements for proper coding and billing.

Patient with irregular cycles and heavy bleeding

Specialty: Gynecology

Required Elements

  • Menstrual history
  • Cycle length and variability
  • Bleeding pattern and severity
  • Relevant lab results

Example Documentation

Patient reports cycles ranging from 20-45 days with heavy bleeding lasting 10 days.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has irregular periods.
Good Documentation Example
Patient reports cycles ranging from 20-45 days, heavy bleeding lasting 10 days, hemoglobin 9.5 g/dL.
Explanation
The good example provides specific details about cycle variability and bleeding severity.

Need help with ICD-10 coding for Abnormal Menstruation? Ask your questions below.

Ask about any ICD-10 CM code, or paste a medical note

We build tools for
clinician happiness.

Learn More at Freed.ai
Back to HomeBeta

Built by Freed

Try Freed for free for 7 days.

Learn more

Helpful Links

How ICD 10 AI Lookup WorksContact UsPrivacy Policy