ICD-10 Coding for Menometrorrhagia(N92.1)
Complete ICD-10-CM coding and documentation guide for Menometrorrhagia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Menometrorrhagia
N92.0-N92.6Primary Range
Excessive, frequent, and irregular menstruation
This range includes codes for various types of abnormal uterine bleeding, including menometrorrhagia.
Key Information: ICD-10 code for menometrorrhagia
Essential facts and insights about Menometrorrhagia
Primary ICD-10-CM Code for menometrorrhagia
Decision Criteria
clinical Criteria
- Documented irregular cycles and heavy bleeding
coding Criteria
- Use N92.1 for irregular cycles with excessive bleeding
documentation Criteria
- Specify cycle length and bleeding duration
Applicable To
- Menometrorrhagia
Excludes
- Regular cycle menorrhagia (N92.0)
Clinical Validation Requirements
- Irregular menstrual cycles (<21 days or >35 days)
- Heavy or prolonged menstrual flow (>7 days, >80 mL blood loss)
Code-Specific Risks
- Misclassification if cycle regularity is not documented.
Coding Notes
- Ensure documentation specifies both heavy flow and irregular timing.
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 Menometrorrhagia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N92.1.
Impact
Clinical: Leads to misdiagnosis and inappropriate treatment., Regulatory: May result in coding audits., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Train staff on specific documentation requirements., Use templates to ensure completeness.
Impact
Reimbursement: Incorrect code may lead to lower reimbursement., Compliance: May trigger audits due to documentation mismatch., Data Quality: Affects accuracy of clinical data.
Mitigation Strategy
Confirm cycle length variability before assigning N92.1.
Impact
N92.1 requires documentation of both irregularity and volume.
Mitigation Strategy
Ensure thorough documentation of menstrual history.
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 Menometrorrhagia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Menometrorrhagia
Use these documentation templates to ensure complete and accurate documentation for Menometrorrhagia. These templates include all required elements for proper coding and billing.
Menometrorrhagia with fibroids
Specialty: OB/GYNRequired Elements
- Cycle length variability
- Bleeding duration
- Presence of fibroids
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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