N95.1 - Menopausal and female climacteric states
ICD-10: | N95.1 |
Short Description: | Menopausal and female climacteric states |
Long Description: | Menopausal and female climacteric states |
Status: | Valid for Submission |
Version: | ICD-10-CM 2023 |
Code Classification: |
N95.1 is a billable ICD-10 code used to specify a medical diagnosis of menopausal and female climacteric states. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions.
This code 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.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Climacteric flushing
- Dermatosis of menopause
- Difficulty managing menopause
- Flushing
- Flushing
- Menopausal concentration lack
- Menopausal flushing
- Menopausal headache
- Menopausal problem
- Menopausal sleeplessness
- Menopausal symptom
- Postmenopausal flushing
Clinical Information
- Flushing-. a transient reddening of the face that may be due to fever, certain drugs, exertion, or stress.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to this diagnosis code:
Inclusion Terms
Inclusion TermsThese terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Symptoms such as flushing, sleeplessness, headache, lack of concentration, associated with natural (age-related) menopause
Use Additional Code
Use Additional CodeThe “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
- code for associated symptoms
Type 1 Excludes
Type 1 ExcludesA type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Index to Diseases and Injuries References
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 this diagnosis code are found in the injuries and diseases index:
- - Climacteric (female) - See Also: Menopause;
- - symptoms (female) - N95.1
- - Flushing - R23.2
- - menopausal - N95.1
- - Hot flashes
- - menopausal - N95.1
- - Menopause, menopausal (asymptomatic) (state) - Z78.0
- - symptomatic - N95.1
- - Sleeplessness - See: Insomnia;
- - menopausal - N95.1
- - State (of)
- - climacteric, female - Z78.0
- - symptomatic - N95.1
- - menopausal - Z78.0
- - symptomatic - N95.1
- - climacteric, female - Z78.0
- - Symptoms NEC - R68.89
- - menopausal - N95.1
- - Vertigo - R42
- - menopausal - N95.1
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 .
Convert to ICD-9 Code
Source ICD-10 Code | Target ICD-9 Code | |
---|---|---|
N95.1 | 627.2 - Sympt fem climact state |
Patient Education
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]
What Is Menopause?
Larissa is experiencing the menopausal transition, a normal part of aging. It is not a disease or disorder.[Learn More in MedlinePlus]
Code History
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- 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)