2027 ICD-10-CM Diagnosis Code N92.1Excessive and frequent menstruation with irregular cycle

ICD-10-CM Codes›N00–N99›N80-N98›N92

ICD-10-CM N92.1
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

N92.1 is a billable ICD-10-CM diagnosis code for excessive and frequent menstruation with irregular cycle. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 742 through 743, 760 through 761. Coders also document this condition as abnormal vaginal bleeding. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Menstrual disorders.

This medical diagnosis code is frequently used in OB/GYN medical specialties to designate conditions such excessive, frequent and irregular menstruation.

Code Identity

ICD-10-CM Code
N92.1
Billable Status
Yes — Valid for Submission
Code Describes
Excessive and frequent menstruation with irregular cycle
Short Description
Excessive and frequent menstruation with irregular cycle
Same as the full description in the CMS dataset.
Parent Code
Excessive, frequent and irregular menstruation

Code Classification

ChapterN00–N99Diseases of the genitourinary system
SectionN80-N98Noninflammatory disorders of female genital tract
CategoryN92Excessive, frequent and irregular menstruation
This CodeN92.1Excessive and frequent menstruation with irregular cycle

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Abnormal vaginal bleeding
  • Break-through bleeding
  • Excessive menstruation with irregular cycle
  • Intermenstrual heavy bleeding
  • Irregular intermenstrual bleeding
  • Irregular periods
  • Menometrorrhagia
  • Menorrhagia
  • Mid-cycle bleeding
  • Withdrawal bleeding

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to N92.1: its own notes plus those printed at N92 and Chapter 14. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Irregular intermenstrual bleeding
  • Irregular, shortened intervals between menstrual bleeding
  • Menometrorrhagia
  • Metrorrhagia

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From N92 Excessive, frequent and irregular menstruation applies to 7 codes
  • postmenopausal bleeding (N95.0)
  • precocious puberty (menstruation) (E30.1)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 14 (N00-N99) Diseases of the genitourinary system applies to 838 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name N92.1, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming N92.1: they are not reported together with it, unless the two conditions are unrelated.

  • N92.6 Irregular menstruation, unspecified
    shortened intervals or excessive bleeding (N92.1)

Index to Diseases and InjuriesGuidance

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR GEN021
Menstrual disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Metrorrhagia

    abnormal uterine bleeding that is not related to menstruation, usually in females without regular menstrual cycle. the irregular and unpredictable bleeding usually comes from a dysfunctional endometrium.

Patient EducationClinical

Menstruation

Menstruation, also called a period, is normal vaginal bleeding that happens as part of the monthly cycle in women and girls. Every month, the body prepares for pregnancy. If pregnancy does not happen, the uterus (womb) sheds its lining. This blood and tissue leave the body through the vagina.

The full article covers:

  • What is menstruation?
  • What is the menstrual cycle?
  • When will my period start?
  • What are the symptoms of menstruation?
  • What are menstrual irregularities?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert N92.1 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
626.6 Metrorrhagia
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About N92.1Overview

What is the ICD-10 code for excessive and frequent menstruation with irregular cycle?

The ICD-10-CM code for excessive and frequent menstruation with irregular cycle is N92.1 (sometimes written as N921). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is N92.1 (Excessive, frequent and irregular menstruation) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report excessive and frequent menstruation with irregular cycle on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does N92.1 group to?

When excessive and frequent menstruation with irregular cycle is the principal diagnosis on an inpatient stay, it groups to MS-DRG 742, 743, 760, 761, with relative weights from 0.7039 to 1.8448 depending on complications. Higher weights mean higher Medicare reimbursement.

Can N92.1 be reported with N95.0?

Not as a rule. The Excludes1 note at N92, which applies to N92.1, lists "postmenopausal bleeding (N95.0)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is the ICD-9 equivalent of N92.1?

Under the General Equivalence Mappings, excessive and frequent menstruation with irregular cycle converts to ICD-9-CM 626.6 (metrorrhagia). The mapping is a direct match.