2026 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 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

N94.3 is a billable ICD-10-CM diagnosis code for premenstrual tension syndrome. 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 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

Tabular List NotesGuidance

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

Code Also

Type 1 Excludes

  • Premenstrual dysphoric disorder F32.81

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.

    • Molimen, molimina(menstrual)
    • Pain(s)
      • premenstrual
    • Premenstrual
      • tension (syndrome)
    • Syndrome
      • premenstrual tension
    • Tension
      • premenstrual

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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About N94.3Overview

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, 2025 through September 30, 2026.

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 0.5696 to 1.8348 depending on complications. Higher weights mean higher Medicare reimbursement.

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.

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.