ICD-10 Coding for Irregular Periods(N92.6, N92.5)
Complete ICD-10-CM coding and documentation guide for Irregular Periods. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Irregular Periods
N92.0-N92.6Primary Range
Excessive, frequent, and irregular menstruation
This range covers various types of menstrual irregularities, including excessive, frequent, and irregular menstruation.
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 the irregularity lacks specific details. |
|
| N92.5 | Other specified irregular menstruation | Use for defined patterns not covered by other codes. |
|
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 periods
Essential facts and insights about Irregular Periods
Primary ICD-10-CM Codes for irregular period
Decision Criteria
clinical Criteria
- Cycle variability greater than 9 days
documentation Criteria
- Lack of specific details about the irregularity
Applicable To
- Unspecified irregular cycles
Clinical Validation Requirements
- Cycle variability greater than 9 days
- Exclusion of pregnancy
Code-Specific Risks
- Risk of using this code when more specific codes apply.
Coding Notes
- Ensure to document cycle length and flow characteristics.
N92.5 - Other specified irregular menstruation
Use for defined patterns not covered by other codes.
Applicable To
- Intermenstrual bleeding
- Oligomenorrhea
Excludes
- Menorrhagia (N92.1)
Clinical Validation Requirements
- Documentation of prolonged intervals greater than 35 days
- Bleeding between cycles
Coding Notes
Ensure to document specific patterns like intermenstrual 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 Periods to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N92.6.
Impact
Clinical: Leads to misdiagnosis or incorrect treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Ensure cycle length is always documented., Use templates to standardize documentation.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate healthcare data reporting.
Mitigation Strategy
Use N92.2 for menometrorrhagia.
Impact
Risk of audits due to missing cycle metrics or flow details.
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 Irregular Periods, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Irregular Periods
Use these documentation templates to ensure complete and accurate documentation for Irregular Periods. These templates include all required elements for proper coding and billing.
Irregular menstrual cycles
Specialty: GynecologyRequired Elements
- Cycle length
- Flow characteristics
- Associated symptoms
- Underlying causes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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