ICD-10 Coding for Metrorrhagia(N92.1, N92.4)
Complete ICD-10-CM coding and documentation guide for Metrorrhagia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Metrorrhagia
N92.0-N92.6Primary Range
Excessive, frequent and irregular menstruation
This range includes codes for various types of abnormal uterine bleeding, including metrorrhagia.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N92.1 | Irregular menstruation, unspecified | Use for patients with irregular bleeding patterns not associated with menopause. |
|
| N92.4 | Excessive bleeding in the premenopausal period | Use for perimenopausal patients with excessive bleeding. |
|
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 metrorrhagia
Essential facts and insights about Metrorrhagia
Primary ICD-10-CM Codes for metrorrhagia
Decision Criteria
clinical Criteria
- Patient reports irregular bleeding between cycles.
Applicable To
- Irregular intermenstrual bleeding
- Menometrorrhagia
Excludes
- Climacteric hemorrhage (N92.4)
Clinical Validation Requirements
- Irregular cycles (<21 or >35 days)
- Bleeding between periods
Code-Specific Risks
- Misclassification if bleeding is due to another condition like endometriosis.
Coding Notes
- Ensure documentation specifies cycle irregularity and bleeding pattern.
N92.4 - Excessive bleeding in the premenopausal period
Use for perimenopausal patients with excessive bleeding.
Applicable To
- Climacteric hemorrhage
Excludes
- Postmenopausal bleeding (N95.0)
Clinical Validation Requirements
- Age 45+ with skipped cycles
- Prolonged bleeding (>10 days)
Coding Notes
Document menopausal status and bleeding characteristics.
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 Metrorrhagia 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 risk, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Use structured templates for documentation., Review menstrual history thoroughly.
Impact
Reimbursement: Incorrect DRG assignment may occur., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use N92.4 for perimenopausal bleeding.
Impact
Inaccurate documentation of menstrual cycles can lead to coding errors.
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 Metrorrhagia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Metrorrhagia
Use these documentation templates to ensure complete and accurate documentation for Metrorrhagia. These templates include all required elements for proper coding and billing.
Irregular bleeding in a reproductive-aged woman
Specialty: GynecologyRequired Elements
- Cycle regularity
- Bleeding pattern
- Associated symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Metrorrhagia? Ask your questions below.