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  5. Menopausal and other perimenopausal disorders (N95)

Menopausal and other perimenopausal disorders (N95)

The ICD-10 code N95 covers menopausal and other perimenopausal disorders, capturing a range of health issues women can experience during and after the transition to menopause. These codes help classify specific symptoms and conditions linked to this phase of life.

This section includes codes for conditions such as N95.0 postmenopausal bleeding, often known as postcoital bleeding or bleeding related to the postmenopausal state. Code N95.1 identifies symptomatic states like menopausal flushing, sleeplessness, and headaches that define the female climacteric period. N95.2 addresses postmenopausal atrophic vaginitis, also called atrophy of the vagina or vulvovaginitis, which involves thinning and inflammation of vaginal tissues. Other specified menopausal disorders, including menopausal hyperhidrosis and genitourinary syndrome of menopause, fall under N95.8. When the menopausal or perimenopausal condition is not clearly defined, N95.9 is used for unspecified disorders such as menopausal syndrome or postmenopausal osteopenia. Understanding these ICD-10 codes for menopausal disorders is essential for accurate documentation and targeted care.

Instructional Notations

Inclusion Terms

These 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.

  • Menopausal and other perimenopausal disorders due to naturally occurring (age-related) menopause and perimenopause

Type 1 Excludes

A 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.

  • 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

Type 2 Excludes

A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

  • postmenopausal osteoporosis M81.0
  • postmenopausal osteoporosis with current pathological fracture M80.0
  • postmenopausal urethritis N34.2

Clinical Terms

The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.

Atrophic Vaginitis

Inflammation of the vagina due to thinning of the vaginal wall and decreased lubrication associated with reduced estrogen levels at MENOPAUSE.

Candidiasis, Vulvovaginal

Infection of the VULVA and VAGINA with a fungus of the genus CANDIDA.

Menopause

The last menstrual period. Permanent cessation of menses (MENSTRUATION) is usually defined after 6 to 12 months of AMENORRHEA in a woman over 45 years of age. In the United States, menopause generally occurs in women between 48 and 55 years of age.

Trichomonas vaginalis

A species of TRICHOMONAS that produces a refractory vaginal discharge in females, as well as bladder and urethral infections in males.

Trichomonas Vaginitis

Inflammation of the vagina, marked by a purulent discharge. This disease is caused by the protozoan TRICHOMONAS VAGINALIS.

Vaginitis

Inflammation of the vagina characterized by pain and a purulent discharge.

Vaginosis, Bacterial

Polymicrobial, nonspecific vaginitis associated with positive cultures of Gardnerella vaginalis and other anaerobic organisms and a decrease in lactobacilli. It remains unclear whether the initial pathogenic event is caused by the growth of anaerobes or a primary decrease in lactobacilli.

Vulvovaginitis

Inflammation of the VULVA and the VAGINA, characterized by discharge, burning, and PRURITUS.