Valid for Submission
N92.4 is a billable diagnosis code used to specify a medical diagnosis of excessive bleeding in the premenopausal period. The code N92.4 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The code N92.4 is applicable to female patients only. It is clinically and virtually impossible to use this code on a non-female patient.
The code is commonly used in ob/gyn , ob/gyn medical specialties to specify clinical concepts such as excessive, frequent and irregular menstruation.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code N92.4:
Inclusion TermsInclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Climacteric menorrhagia or metrorrhagia
- Menopausal menorrhagia or metrorrhagia
- Perimenopausal bleeding
- Perimenopausal menorrhagia or metrorrhagia
- Preclimacteric menorrhagia or metrorrhagia
- Premenopausal menorrhagia or metrorrhagia
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code N92.4 are found in the index:
- - Bleeding - See Also: Hemorrhage;
- - Hemorrhage, hemorrhagic (concealed) - R58
- - Menorrhagia (primary) - N92.0
- - Metrorrhagia - N92.1
- - Preclimacteric bleeding (menorrhagia) - N92.4
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|742||UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC||13||1.717|
|743||UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC||13||1.1323|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert N92.4 to ICD-9 Code
Information for Patients
Menstruation, or period, is a woman's monthly bleeding.Abnormal vaginal bleeding is different from normal menstrual periods. It could be bleeding that is between periods, is very heavy, or lasts much longer than usual. It also includes bleeding that happens before puberty or after menopause. Causes can include
- Uterine fibroids or polyps
- Hormone problems
- Hormone pills, such as birth control pills and hormone replacement therapy (menopausal hormone therapy)
- Cancer of the cervix, ovaries, uterus or vagina
- Thyroid problems
Bleeding during pregnancy can have several different causes. It is not always serious, but to be safe you should contact your health care provider right away.
Pelvic exams, blood tests, imaging tests, and other procedures can help your health care provider diagnose the problem. Treatment depends on the cause. Treatments may include medicines, hormones, and surgery.
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