2026 ICD-10-CM Diagnosis Code N95.9Unspecified menopausal and perimenopausal disorder

ICD-10-CM Codes›N00–N99›N80-N98›N95

ICD-10-CM N95.9
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

N95.9 is a billable ICD-10-CM diagnosis code for unspecified menopausal and perimenopausal disorder. 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. Coders also document this condition as menopausal syndrome. 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
N95.9
Billable Status
Yes — Valid for Submission
Code Describes
Unspecified menopausal and perimenopausal disorder
Short Description
Unspecified menopausal and perimenopausal disorder
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 CodeN95.9Unspecified menopausal and perimenopausal disorder

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Menopausal syndrome
  • Perimenopausal disorder
  • Postmenopausal osteopenia

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.

    • Disorder(of)
      • menopausal
    • Disorder(of)
      • postmenopausal

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR GEN023
Menopausal disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Menopausal Syndrome

    a grouping of variable physical, vasomotor and psychological symptoms in climacteric females. physical symptoms include: cessation of menses, headaches, fatigue, weight gain and vaginal dryness. vasomotor symptoms typically include: palpitations, hot flashes and night sweats. psychological symptoms may include: decrease in libido, emotional lability, difficulty concentrating and insomnia.

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 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 N95.9 to ICD-9-CMHistory

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

ICD-9-CM
627.9 Menopausal disorder NOS
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 N95.9Overview

Is N95.9 (Menopausal and other perimenopausal disorders) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report unspecified menopausal and perimenopausal disorder on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does N95.9 group to?

When unspecified menopausal and perimenopausal disorder 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 N95.9?

Under the General Equivalence Mappings, unspecified menopausal and perimenopausal disorder converts to ICD-9-CM 627.9 (menopausal disorder NOS). 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.