ICD-10 Coding for Irregular Menstrual Period(N92.6, N92.1)
Complete ICD-10-CM coding and documentation guide for Irregular Menstrual Period. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Irregular Menstrual Period
N92.0-N92.6Primary Range
Excessive, frequent, and irregular menstruation
This range includes codes for various types of menstrual irregularities, including unspecified irregularity, excessive bleeding, 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 |
|---|---|---|---|
| N92.6 | Irregular menstruation, unspecified | Use when menstrual irregularity is present but lacks specific pattern or severity details. |
|
| N92.1 | Excessive and frequent menstruation with irregular cycle | Use when there is heavy or prolonged bleeding with irregular cycles. |
|
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 menstrual periods
Essential facts and insights about Irregular Menstrual Period
Primary ICD-10-CM Codes for irregular menstrual period
Decision Criteria
clinical Criteria
- Irregular menstrual cycles without a discernible pattern
coding Criteria
- No specific pattern or severity documented
Applicable To
- Irregular menstrual cycle without specific pattern
Clinical Validation Requirements
- Documented irregularity without specific pattern or severity
- Normal pelvic ultrasound findings
Code-Specific Risks
- Overuse when more specific codes apply
Coding Notes
- Ensure documentation specifies the lack of pattern or severity to justify using an unspecified code.
N92.1 - Excessive and frequent menstruation with irregular cycle
Use when there is heavy or prolonged bleeding with irregular cycles.
Applicable To
- Menometrorrhagia
- Irregular intermenstrual bleeding
Excludes
- Irregular menstruation, unspecified (N92.6)
Clinical Validation Requirements
- Documented irregular cycles with heavy or prolonged bleeding
- Hemoglobin <11 g/dL
Coding Notes
Ensure documentation captures the frequency and volume of bleeding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Irregular Menstrual Period to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N92.6.
Impact
Clinical: Inadequate clinical understanding of the patient's condition, Regulatory: Potential for audit due to lack of specificity, Financial: Possible underpayment due to incorrect coding
Mitigation Strategy
Include specific cycle details and associated symptoms, Use templates to ensure comprehensive documentation
Impact
Reimbursement: Potential underpayment due to incorrect code usage, Compliance: Risk of audit for using unspecified codes, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Use N92.1 for menometrorrhagia with irregular cycles.
Impact
High risk of audit when unspecified codes are used without justification.
Mitigation Strategy
Ensure documentation clearly supports the use of unspecified 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 Irregular Menstrual Period, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Irregular Menstrual Period
Use these documentation templates to ensure complete and accurate documentation for Irregular Menstrual Period. These templates include all required elements for proper coding and billing.
Gynecology Progress Note for Abnormal Uterine Bleeding
Specialty: GynecologyRequired Elements
- Menstrual history
- Cycle length and duration
- Flow volume and pattern
- Associated symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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