2027 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 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

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 2027 (October 1, 2026 through September 30, 2027) 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

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to N92.4: 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.

  • Climacteric menorrhagia or metrorrhagia
  • Menopausal menorrhagia or metrorrhagia
  • Perimenopausal bleeding
  • Perimenopausal menorrhagia or metrorrhagia
  • Preclimacteric menorrhagia or metrorrhagia
  • Premenopausal menorrhagia or 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 N92.4, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming N92.4: they are not reported together with it, unless the two conditions are unrelated.

  • N95 Menopausal and other perimenopausal disorders
    excessive bleeding in the premenopausal period (N92.4)

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

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 a 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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About N92.4Overview

What is the ICD-10 code for excessive bleeding in the premenopausal period?

The ICD-10-CM code for excessive bleeding in the premenopausal period is N92.4 (sometimes written as N924). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

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, 2026 through September 30, 2027.

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 0.7039 to 1.8448 depending on complications. Higher weights mean higher Medicare reimbursement.

Can N92.4 be reported with N95.0?

Not as a rule. The Excludes1 note at N92, which applies to N92.4, 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 N92.4?

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.