ICD-10 Coding for Heavy Menstrual Bleeding(N92.0, N92.1)
Complete ICD-10-CM coding and documentation guide for Heavy Menstrual Bleeding. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Heavy Menstrual Bleeding
N92.0-N92.5Primary Range
Excessive, frequent and irregular menstruation
This range covers various types of heavy menstrual bleeding, including regular and irregular cycles, as well as bleeding related to puberty and premenopause.
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 heavy menstrual bleeding occurring at regular intervals. |
|
| N92.1 | Excessive and frequent menstruation with irregular cycle | Use for patients with heavy menstrual bleeding occurring at irregular intervals. |
|
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 menstrual bleeding
Essential facts and insights about Heavy Menstrual Bleeding
Primary ICD-10-CM Codes for heavy menstrual bleeding
Decision Criteria
clinical Criteria
- Patient reports regular cycles with excessive bleeding.
Applicable To
- Menorrhagia with regular cycle
Excludes
- Dysfunctional uterine bleeding (N93.8)
Clinical Validation Requirements
- Regular menstrual cycles (21-35 days)
- Quantitative blood loss >80mL/cycle
- Hemoglobin <12 g/dL
Code-Specific Risks
- Misclassification if cycle regularity is not documented
Coding Notes
- Ensure documentation specifies cycle regularity and associated symptoms.
N92.1 - Excessive and frequent menstruation with irregular cycle
Use for patients with heavy menstrual bleeding occurring at irregular intervals.
Applicable To
- Menorrhagia with irregular cycle
Excludes
- Dysfunctional uterine bleeding (N93.8)
Clinical Validation Requirements
- Irregular menstrual cycles
- Quantitative blood loss >80mL/cycle
- Hemoglobin <12 g/dL
Coding Notes
Ensure documentation specifies cycle irregularity and associated symptoms.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Heavy 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: Incomplete clinical picture., Regulatory: Potential audit issues., Financial: Risk of claim denials.
Mitigation Strategy
Use structured templates for documentation., Ensure all symptoms are recorded.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Document cycle regularity explicitly in the patient's record.
Impact
Lack of documentation on cycle regularity can lead to audit flags.
Mitigation Strategy
Ensure cycle regularity is clearly documented in patient records.
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 Menstrual Bleeding, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Heavy Menstrual Bleeding
Use these documentation templates to ensure complete and accurate documentation for Heavy Menstrual Bleeding. These templates include all required elements for proper coding and billing.
Regular cycle with heavy bleeding
Specialty: GynecologyRequired Elements
- Cycle regularity
- Blood loss quantification
- Impact on daily activities
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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