ICD-10 Coding for Heavy Menses(N92.0, N92.2, N92.4)
Complete ICD-10-CM coding and documentation guide for Heavy Menses. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Heavy Menses
N92.0-N92.6Primary Range
Excessive, frequent, and irregular menstruation
This range includes codes for various types of heavy menstrual bleeding, including regular and irregular cycles.
Nutritional anemias
This range includes codes for anemia, which can be a complication of heavy menstrual bleeding.
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 for patients with regular menstrual cycles experiencing excessive bleeding. |
|
| N92.2 | Excessive menstruation at puberty | Use for pubertal menorrhagia in patients aged 10-19. |
|
| N92.4 | Excessive bleeding in the premenopausal period | Use for premenopausal patients with excessive bleeding. |
|
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 heavy menses
Essential facts and insights about Heavy Menses
Primary ICD-10-CM Codes for heavy menses
Decision Criteria
clinical Criteria
- Patient reports regular cycles with excessive bleeding.
Applicable To
- Menorrhagia with regular cycles
Excludes
- Irregular menstrual cycles
- Postmenopausal bleeding
Clinical Validation Requirements
- Regular 21-35 day cycles
- Bleeding lasting more than 7 days
Code-Specific Risks
- Incorrectly using for irregular cycles
Coding Notes
- Ensure cycle regularity is documented to avoid incorrect coding.
N92.2 - Excessive menstruation at puberty
Use for pubertal menorrhagia in patients aged 10-19.
Applicable To
- Menorrhagia at menarche
Excludes
- Bleeding disorders
Clinical Validation Requirements
- Excessive bleeding at menarche
- Hemoglobin <12 g/dL
Coding Notes
Ensure bleeding disorders are ruled out.
N92.4 - Excessive bleeding in the premenopausal period
Use for premenopausal patients with excessive bleeding.
Applicable To
- Premenopausal flooding
Excludes
- Structural causes like fibroids
Clinical Validation Requirements
- Flooding requiring hourly pad changes
- Age 40-55
Coding Notes
Document exclusion of structural causes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Iron deficiency anemia secondary to blood loss
D50.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Heavy Menses 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 misdiagnosis and incorrect treatment., Regulatory: Fails to meet coding compliance standards., Financial: Potential for claim denials.
Mitigation Strategy
Use specific terms like 'flooding' and 'clots >1 inch'.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data recording.
Mitigation Strategy
Use N92.0 for regular cycles only.
Impact
Failure to document cycle regularity can lead to incorrect coding.
Mitigation Strategy
Ensure cycle details are recorded in every patient visit.
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 Heavy Menses, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Heavy Menses
Use these documentation templates to ensure complete and accurate documentation for Heavy Menses. These templates include all required elements for proper coding and billing.
Menorrhagia in a 24-year-old
Specialty: GynecologyRequired Elements
- Cycle length
- Bleeding duration
- Pad/tampon usage
- Anemia symptoms
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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