ICD-10 Coding for Metromenorrhagia(N92.1)
Complete ICD-10-CM coding and documentation guide for Metromenorrhagia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Metromenorrhagia
N92-N93Primary Range
Excessive, frequent, and irregular menstruation
This range includes codes for various types of abnormal uterine bleeding, including metromenorrhagia.
Key Information: ICD-10 code for metromenorrhagia
Essential facts and insights about Metromenorrhagia
Primary ICD-10-CM Code for metromenorrhagia
Decision Criteria
clinical Criteria
- Irregular menstrual cycles with excessive bleeding
documentation Criteria
- Detailed menstrual history including cycle length and bleeding duration
Applicable To
- Menometrorrhagia
- Irregular intermenstrual bleeding
Clinical Validation Requirements
- Irregular intervals between cycles
- Prolonged bleeding >7 days
- Clots >1 inch diameter
Code-Specific Risks
- Confusing with N92.0 if cycles are regular
- Omitting documentation of cycle irregularity
Coding Notes
- Ensure documentation includes specific details about cycle irregularity and bleeding duration.
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 Metromenorrhagia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N92.1.
Impact
Clinical: Misdiagnosis of menstrual disorders., Regulatory: Non-compliance with ICD-10 documentation standards., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Use structured templates for menstrual history., Train staff on documentation requirements.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on menstrual disorders.
Mitigation Strategy
Verify cycle regularity through patient diary or history.
Impact
Failure to document cycle irregularity can lead to audit findings.
Mitigation Strategy
Implement regular training on documentation standards.
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 Metromenorrhagia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Metromenorrhagia
Use these documentation templates to ensure complete and accurate documentation for Metromenorrhagia. These templates include all required elements for proper coding and billing.
Metromenorrhagia with fibroids
Specialty: OB/GYNRequired Elements
- Menstrual history
- Physical examination findings
- Laboratory results
- Imaging studies
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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