2022 ICD-10-CM Code N95.0
Postmenopausal bleeding
Valid for Submission
| ICD-10: | N95.0 |
| Short Description: | Postmenopausal bleeding |
| Long Description: | Postmenopausal bleeding |
Code Classification
N95.0 is a billable diagnosis code used to specify a medical diagnosis of postmenopausal bleeding. The code N95.0 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code N95.0 might also be used to specify conditions or terms like abnormal vaginal bleeding, postcoital bleeding, postcoital finding, postmenopausal bleeding, postmenopausal postcoital bleeding , postmenopausal state, etc.
The code N95.0 is applicable to female patients only. It is clinically and virtually impossible to use this code on a non-female patient.
The code is commonly used in ob/gyn medical specialties to specify clinical concepts such as selected menopausal and other perimenopausal disorders.
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code N95.0 are found in the index:
- - Bleeding - See Also: Hemorrhage;
- - postclimacteric - N95.0
- - postmenopausal - N95.0
- - Hemorrhage, hemorrhagic (concealed) - R58
- - postmenopausal - N95.0
- - uterus, uterine (abnormal) - N93.9
- - postmenopausal - N95.0
- - Menorrhagia (primary) - N92.0
- - postclimacteric - N95.0
- - postmenopausal - N95.0
- - Postclimacteric bleeding - N95.0
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
- Diagnoses for females only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to FEMALES only .
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Abnormal vaginal bleeding
- Postcoital bleeding
- Postcoital finding
- Postmenopausal bleeding
- Postmenopausal postcoital bleeding
- Postmenopausal state
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code N95.0 is grouped in the following groups for version MS-DRG V39.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2021 through 09/30/2022.
| MS-DRG | MS-DRG Title | MCD | Relative Weight |
|---|---|---|---|
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | 13 | 1.717 |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | 13 | 1.1323 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert N95.0 to ICD-9 Code
- 627.1 - Postmenopausal bleeding
Information for Patients
Menopause
Menopause is the time in a woman's life when her period stops. It usually occurs naturally, most often after age 45. Menopause happens because the woman's ovaries stop producing the hormones estrogen and progesterone.
A woman has reached menopause when she has not had a period for one year. Changes and symptoms can start several years earlier. They include
- A change in periods - shorter or longer, lighter or heavier, with more or less time in between
- Hot flashes and/or night sweats
- Trouble sleeping
- Vaginal dryness
- Mood swings
- Trouble focusing
- Less hair on head, more on face
Some symptoms require treatment. Talk to your doctor about how to best manage menopause. Make sure the doctor knows your medical history and your family medical history. This includes whether you are at risk for heart disease, osteoporosis, or breast cancer.
Dept. of Health and Human Services Office on Women's Health
[Learn More in MedlinePlus]
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
- Uterine fibroids or polyps
- Hormone problems
- Hormone pills, such as birth control pills and hormone replacement therapy (menopausal hormone therapy)
- Cancer of the cervix, ovaries, uterus or vagina
- Thyroid problems
Bleeding during pregnancy can have several different causes. It is not always serious, but to be safe you should contact your health care provider right away.
Pelvic exams, blood tests, imaging tests, and other procedures can help your health care provider diagnose the problem. Treatment depends on the cause. Treatments may include medicines, hormones, and surgery.
[Learn More in MedlinePlus]
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)