2026 ICD-10-CM Diagnosis Code N92.4Excessive bleeding in the premenopausal period

ICD-10-CM Codes›N00–N99›N80-N98›N92

ICD-10-CM N92.4
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

N92.4 is a billable ICD-10-CM diagnosis code for excessive bleeding in the premenopausal period. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 742 through 743, 760 through 761. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Menopausal disorders.

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

Code Identity

ICD-10-CM Code
N92.4
Billable Status
Yes — Valid for Submission
Code Describes
Excessive bleeding in the premenopausal period
Short Description
Excessive bleeding in the premenopausal period
Same as the full description in the CMS dataset.
Parent Code
N92
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 CodeN92.4Excessive bleeding in the premenopausal period

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • 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 InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Bleeding
      • excessive, associated with menopausal onset
    • Bleeding
      • menopausal
    • Bleeding
      • perimenopausal
    • Bleeding
      • preclimacteric
    • Bleeding
      • uterus, uterine NEC
        • climacteric
    • Bleeding
      • uterus, uterine NEC
        • menopausal
    • Bleeding
      • uterus, uterine NEC
        • preclimacteric or premenopausal
    • Hemorrhage, hemorrhagic(concealed)
      • uterus, uterine (abnormal)
        • climacteric
    • Hemorrhage, hemorrhagic(concealed)
      • uterus, uterine (abnormal)
        • preclimacteric or premenopausal
    • Menopause, menopausal(asymptomatic) (state)
      • bleeding
    • Menorrhagia(primary)
      • climacteric
    • Menorrhagia(primary)
      • climacteric
        • menopausal
    • Menorrhagia(primary)
      • menopausal
    • Menorrhagia(primary)
      • perimenopausal
    • Menorrhagia(primary)
      • preclimacteric or premenopausal
    • Metrorrhagia
      • climacteric
    • Metrorrhagia
      • menopausal
    • Metrorrhagia
      • perimenopausal
    • Metrorrhagia
      • preclimacteric or premenopausal
    • Preclimacteric bleeding(menorrhagia)

Clinical ClassificationClinical

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

CCSR GEN023
Menopausal disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Vaginal Bleeding

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:

Read the full article at MedlinePlus

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

Convert N92.4 to ICD-9-CMHistory

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

ICD-9-CM
627.0 Premenopause menorrhagia
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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About N92.4Overview

Is N92.4 (Excessive, frequent and irregular menstruation) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report excessive bleeding in the premenopausal period on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does N92.4 group to?

When excessive bleeding in the premenopausal period is the principal diagnosis on an inpatient stay, it groups to MS-DRG 742, 743, 760, 761, with relative weights from 0.5696 to 1.8348 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of N92.4?

Under the General Equivalence Mappings, excessive bleeding in the premenopausal period converts to ICD-9-CM 627.0 (premenopause menorrhagia). The mapping is a direct match.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.