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ICD-10 Coding for Menorrhagia-Related Hemoglobin Screening(N92.0, D50.0)

Complete ICD-10-CM coding and documentation guide for Menorrhagia-Related Hemoglobin Screening. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Heavy Menstrual BleedingExcessive Menstruation

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Related ICD-10 Code Ranges

Complete code families applicable to Menorrhagia-Related Hemoglobin Screening

N92-N93Primary Range

Excessive, frequent, and irregular menstruation

This range includes codes for various types of abnormal uterine bleeding, including menorrhagia.

D50-D53

Nutritional anemias

This range includes codes for anemia, specifically iron deficiency anemia related to menorrhagia.

Z00-Z13

Persons encountering health services for examinations

This range includes codes for routine examinations and screenings, relevant for documenting screening encounters.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
N92.0Excessive and frequent menstruation with regular cycleUse when the patient has regular menstrual cycles with excessive bleeding.
  • Regular menstrual cycles (21-35 days)
  • Heavy bleeding lasting ≥7 days
D50.0Iron deficiency anemia secondary to blood loss (chronic)Use when anemia is confirmed to be due to chronic blood loss from menorrhagia.
  • Hemoglobin <12 g/dL
  • Ferritin <30 ng/mL

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 menorrhagia with anemia

Essential facts and insights about Menorrhagia-Related Hemoglobin Screening

The ICD-10 code for menorrhagia with confirmed iron deficiency anemia is N92.0 or N92.1 for the bleeding, paired with D50.0 for the anemia.

Primary ICD-10-CM Codes for screening hemoglobin menstruation

N92.0
Excessive and frequent menstruation with regular cycle
Billable Code

Decision Criteria

clinical Criteria

  • Regular cycles with heavy bleeding

Applicable To

  • Heavy regular menstrual bleeding

Excludes

  • Irregular menstruation (N92.1)

Clinical Validation Requirements

  • Regular menstrual cycles (21-35 days)
  • Heavy bleeding lasting ≥7 days

Code-Specific Risks

  • Misclassification if cycle regularity is not documented

Coding Notes

  • Ensure documentation specifies cycle regularity and bleeding duration.
View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Encounter for gynecological examination (general) (routine) without abnormal findings

Z01.419
Use for routine gynecological exams where menorrhagia is noted.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Excessive and frequent menstruation with irregular cycle

N92.1
Use N92.1 if the menstrual cycle is irregular.

Anemia, unspecified

D64.9
Use D64.9 only if the type of anemia is not confirmed.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Menorrhagia-Related Hemoglobin Screening to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N92.0.

Impact

Clinical: May lead to incorrect diagnosis and treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for incorrect billing and reimbursement.

Mitigation Strategy

Include cycle regularity in patient history., Use templates to ensure complete documentation.

Impact

Reimbursement: May result in lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on anemia prevalence.

Mitigation Strategy

Use D50.0 for confirmed iron deficiency anemia.

Impact

Risk of using unspecified anemia codes when iron deficiency is confirmed.

Mitigation Strategy

Train staff on proper documentation and coding practices.

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 Menorrhagia-Related Hemoglobin Screening, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Menorrhagia-Related Hemoglobin Screening

Use these documentation templates to ensure complete and accurate documentation for Menorrhagia-Related Hemoglobin Screening. These templates include all required elements for proper coding and billing.

Menorrhagia with confirmed anemia

Specialty: Gynecology

Required Elements

  • Menstrual cycle regularity
  • Bleeding duration and intensity
  • Lab results (Hgb, Ferritin)

Example Documentation

Patient presents with regular cycles every 28 days, bleeding for 8 days with clots. Hgb 10.2 g/dL, Ferritin 15 ng/mL.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has heavy periods.
Good Documentation Example
Patient reports regular cycles every 28 days, bleeding for 8 days with clots. Hgb 10.2 g/dL, Ferritin 15 ng/mL.
Explanation
The good example provides specific details on cycle regularity, bleeding duration, and lab results.

Need help with ICD-10 coding for Menorrhagia-Related Hemoglobin Screening? Ask your questions below.

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