2027 ICD-10-CM Diagnosis Code N95.1Menopausal and female climacteric states

ICD-10-CM Codes›N00–N99›N80-N98›N95

ICD-10-CM N95.1
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

N95.1 is a billable ICD-10-CM diagnosis code for menopausal and female climacteric states. 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 medical specialties to designate conditions such selected menopausal and other perimenopausal disorders.

Code Identity

ICD-10-CM Code
N95.1
Billable Status
Yes — Valid for Submission
Code Describes
Menopausal and female climacteric states
Short Description
Menopausal and female climacteric states
Same as the full description in the CMS dataset.
Parent Code
N95
Menopausal and other perimenopausal disorders

Code Classification

ChapterN00–N99Diseases of the genitourinary system
SectionN80-N98Noninflammatory disorders of female genital tract
CategoryN95Menopausal and other perimenopausal disorders
This CodeN95.1Menopausal and female climacteric states

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Climacteric flushing
  • Dermatosis of menopause
  • Difficulty managing menopause
  • Menopausal concentration lack
  • Menopausal flushing
  • Menopausal headache
  • Menopausal problem
  • Menopausal sleeplessness
  • Menopausal symptom
  • Postmenopausal flushing
  • Postmenopausal state

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to N95.1: its own notes plus those printed at N95 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.

  • Symptoms such as flushing, sleeplessness, headache, lack of concentration, associated with natural (age-related) menopause

Excludes1

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

On N95.1 itself
  • asymptomatic menopausal state (Z78.0)
  • symptoms associated with artificial menopause (E89.41)
  • symptoms associated with premature menopause (E28.310)
From N95 Menopausal and other perimenopausal disorders applies to 5 codes
  • excessive bleeding in the premenopausal period (N92.4)
  • menopausal and perimenopausal disorders due to artificial or premature menopause (E89.4-, E28.31-)
  • premature menopause (E28.31-)

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 N95 Menopausal and other perimenopausal disorders applies to 5 codes
  • postmenopausal osteoporosis (M81.0-)
  • postmenopausal osteoporosis with current pathological fracture (M80.0-)
  • postmenopausal urethritis (N34.2)
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)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

  • code for associated symptoms

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

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name N95.1, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming N95.1: its condition is not part of those codes, and both may be reported when the patient has both.

  • Z78.0 Asymptomatic menopausal state
    symptomatic menopausal state (N95.1)

Code First 2

These codes say to code first a condition named in the note, and N95.1 is one of the conditions named.

  • R23.2 Flushing
    if applicable, menopausal and female climacteric states (N95.1)
  • R61 Generalized hyperhidrosis
    if applicable, menopausal and female climacteric states (N95.1)

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

Menopause

Menopause is the time in your life when you stop having your period and can no longer get pregnant. You have reached menopause when you have not had a period for 12 months.

The full article covers:

  • What is menopause?
  • What is early and premature menopause?
  • What are the symptoms of menopause?
  • What are the treatments for the symptoms of menopause?

Read the full article at MedlinePlus

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

Convert N95.1 to ICD-9-CMHistory

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

ICD-9-CM
627.2 Sympt fem climact state
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 N95.1Overview

What is the ICD-10 code for menopausal and female climacteric states?

The ICD-10-CM code for menopausal and female climacteric states is N95.1 (sometimes written as N951). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is N95.1 (Menopausal and other perimenopausal disorders) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report menopausal and female climacteric states on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does N95.1 group to?

When menopausal and female climacteric states 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 N95.1 be reported with Z78.0?

Not as a rule. The Excludes1 note on N95.1 lists "asymptomatic menopausal state (Z78.0)". 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).

Does N95.1 need an additional code?

When the condition applies, yes. The Use Additional Code note reads: code for associated symptoms. The additional code is reported after N95.1.