2024 ICD-10-CM Diagnosis Code N92.4
Excessive bleeding in the premenopausal period
- ICD-10-CM Code:
- N92.4
- ICD-10 Code for:
- Excessive bleeding in the premenopausal period
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Chronic
- Code Navigator:
N92.4 is a billable diagnosis code used to specify a medical diagnosis of excessive bleeding in the premenopausal period. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.
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 , ob/gyn medical specialties to specify clinical concepts such as excessive, frequent and irregular menstruation.
Clinical Classification
Clinical Category is Menopausal disorders
- CCSR Category Code: GEN023
- Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Tabular List of Diseases and Injuries
The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.
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.
- Climacteric menorrhagia or metrorrhagia
- Menopausal menorrhagia or metrorrhagia
- Perimenopausal bleeding
- Perimenopausal menorrhagia or metrorrhagia
- Preclimacteric menorrhagia or metrorrhagia
- Premenopausal menorrhagia or metrorrhagia
Index to Diseases and Injuries References
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
- - Bleeding - See Also: Hemorrhage;
- - excessive, associated with menopausal onset - N92.4
- - menopausal - N92.4
- - perimenopausal - N92.4
- - preclimacteric - N92.4
- - uterus, uterine NEC - N93.9
- - climacteric - N92.4
- - menopausal - N92.4
- - preclimacteric or premenopausal - N92.4
- - Hemorrhage, hemorrhagic (concealed) - R58
- - uterus, uterine (abnormal) - N93.9
- - climacteric - N92.4
- - preclimacteric or premenopausal - N92.4
- - uterus, uterine (abnormal) - N93.9
- - Menopause, menopausal (asymptomatic) (state) - Z78.0
- - bleeding - N92.4
- - Menorrhagia (primary) - N92.0
- - climacteric - N92.4
- - menopausal - N92.4
- - menopausal - N92.4
- - perimenopausal - N92.4
- - preclimacteric or premenopausal - N92.4
- - climacteric - N92.4
- - Metrorrhagia - N92.1
- - climacteric - N92.4
- - menopausal - N92.4
- - perimenopausal - N92.4
- - preclimacteric or premenopausal - N92.4
- - Preclimacteric bleeding (menorrhagia) - N92.4
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM 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 N92.4 to ICD-9-CM
- ICD-9-CM Code: 627.0 - Premenopause menorrhagia
Patient Education
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 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- 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. This was the first year ICD-10-CM was implemented into the HIPAA code set.
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.