2027 ICD-10-CM Diagnosis Code N94.3Premenstrual tension syndrome

ICD-10-CM Codes›N00–N99›N80-N98›N94

ICD-10-CM N94.3
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

N94.3 is a billable ICD-10-CM diagnosis code for premenstrual tension syndrome. 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 Other specified female genital disorders.

Code Identity

ICD-10-CM Code
N94.3
Billable Status
Yes — Valid for Submission
Code Describes
Premenstrual tension syndrome
Short Description
Premenstrual tension syndrome
Same as the full description in the CMS dataset.
Parent Code
N94
Pain and other conditions associated with female genital organs and menstrual cycle

Code Classification

ChapterN00–N99Diseases of the genitourinary system
SectionN80-N98Noninflammatory disorders of female genital tract
CategoryN94Pain and other conditions associated with female genital organs and menstrual cycle
This CodeN94.3Premenstrual tension syndrome

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Premenstrual tension syndrome

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to N94.3: its own notes plus those printed at Chapter 14. A note printed at a category, block or chapter applies to every code under it.

Excludes1

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

  • Premenstrual dysphoric disorder (F32.81)

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)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

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

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name N94.3, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming N94.3: they are not reported together with it, unless the two conditions are unrelated.

  • F32.81 Premenstrual dysphoric disorder
    premenstrual tension syndrome (N94.3)

Excludes2 1

These codes carry an Excludes2 note naming N94.3: its condition is not part of those codes, and both may be reported when the patient has both.

  • Block R10-R19 Symptoms and signs involving the digestive system and abdomen
    symptoms referable to female genital organs (N94.-) names N94.-, which includes this code

Code Also 2

These codes say N94.3 may also be needed to fully describe the condition. The note gives no sequencing direction.

  • G43.82 Menstrual migraine, not intractable
    associated premenstrual tension syndrome (N94.3)
  • G43.83 Menstrual migraine, intractable
    associated premenstrual tension syndrome (N94.3)

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 GEN025
Other specified female genital disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Premenstrual Syndrome

Premenstrual syndrome, or PMS, is a group of physical and emotional symptoms that start one to two weeks before your period. Most women have at least some symptoms of PMS, and the symptoms go away after their periods start. The symptoms may range from mild to severe.

The full article covers:

  • What is premenstrual syndrome (PMS)?
  • What is premenstrual dysphoric disorder (PMDD)?
  • What causes premenstrual syndrome (PMS)?
  • What are the symptoms of premenstrual syndrome (PMS)?
  • How is premenstrual syndrome (PMS) diagnosed?
  • What are the treatments for premenstrual syndrome (PMS)?

Read the full article at MedlinePlus

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

Convert N94.3 to ICD-9-CMHistory

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

ICD-9-CM
625.4 Premenstrual tension
Approximate The match is approximate rather than exact.

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 N94.3Overview

What is the ICD-10 code for premenstrual tension syndrome?

The ICD-10-CM code for premenstrual tension syndrome is N94.3 (sometimes written as N943). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is N94.3 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report premenstrual tension syndrome on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does N94.3 group to?

When premenstrual tension syndrome 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 N94.3 be reported with F32.81?

Not as a rule. The Excludes1 note on N94.3 lists "Premenstrual dysphoric disorder (F32.81)". 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 N94.3?

Under the General Equivalence Mappings, premenstrual tension syndrome converts to ICD-9-CM 625.4 (premenstrual tension). The mapping is approximate, so confirm the match fits the documentation.