ICD 10 code for Menorrhagia is N92.0. In this article, you will learn the diagnosis coding of Menorrhagia and the updated guidelines for ICD 10 and 11.
What Is Menorrhagia?
Menorrhagia is heavy and prolonged menstrual period bleeding or increased duration of menses that lasts more than seven days.
Regular menstrual can last from 5 to 7 days and occurs every 21 to 35 days.
Signs And Symptoms
Common signs and symptoms of menorrhagia are following:
- Thoroughly Soaked sanitary pads or tampons that need to change several times a day for more than seven consecutive days.
- Usage of double sanitary pads to control the menstrual flow
- Prolonged bleeding for more than 7 to 10 days
- Passage of blood clots
- Shortness of breath
- Pallor skin
There are three leading causes of the abnormal menstrual cycle.
Diseases of uterus
Other conditions or bleeding.
Hormone problems include the imbalance of Hormones that affect menstruation like estrogen, progesterone FSH and LH, etc.
Diseases of the uterus include:
- Fibroid uterus
- Endometrial carcinoma
- Leiomyomas and other benign tumors
- Uterine polyps
- Pregnancy-related disorders such as a miscarriage or ectopic pregnancy)
- Use of an intrauterine device (IUD)
Other conditions of kidneys or liver disease, cancer, or bleeding disorders can result in delayed healing, can lead to prolonged bleeding.
Environmental and emotional factors can also cause menorrhagia or heavy bleeding.
Menorrhagia ICD 10
Menorrhagia ICD 10 Unspecified code is N92.0.
It is a billable code used to indicate the diagnosis of menorrhagia for reimbursement purposes.
- Heavy periods NOS
- Menorrhagia NOS
- Polymenorrhea (abnormally irregular and frequent menstrual cycle)
Type 1 Excludes
- ICD 10 code for postmenopausal bleeding, which is N95.0
- ICD 10 code for precocious puberty (menstruation) E30.1
Type 1 Exclude conditions or codes N95.0 and E30.1 should never be billed with any category of ICD codes of N92 because these diseases or diagnoses cannot co-exist, so code only one ICD 10, which is the accurate best match for the mentioned diagnosis written on medical notes.
Menorrhagia ICD 11
Menstruation with a heavy volume of approximately > 80 ml of monthly blood loss is known as menorrhagia.
ICD 11 code for menorrhagia is GA20.50
For the ICD 11 code for menorrhagia, go to the main category of ICD 11 GA20 Menstrual cycle bleeding disorders;
Then choose the subcategory of ICD 11 GA20.5 Abnormal volume of uterine bleeding.
Then choose the ICD 11 code for heavy bleeding volume, GA20.50 Heavy menstrual bleeding.
What Is Premenopausal Period?
The premenopausal period is the time before menopause, and menopause is when a female has the end of their menstrual cycle, menopause is diagnosed after 12 months after the last menstrual period.
But during the premenopausal period, women may suffer from many physical changes like they may following symptoms:
- Irregular periods
- Vaginal dryness
- Hot flashes
- Night sweats
- Sleep problems
- Mood changes
- Weight gain
- Thinning hair and dry skin
- Loss of breast fullness
Menorrhagia In The Premenopausal Period ICD 10
ICD 10 code for the diagnosis of menorrhagia in the premenopausal period is N92.4.
It is also applicable for the diagnosis like:
Climacteric menorrhagia or metrorrhagia
Menopausal menorrhagia or metrorrhagia
Perimenopausal menorrhagia or metrorrhagia
Preclimacteric menorrhagia or metrorrhagia
Premenopausal menorrhagia or metrorrhagia
Menorrhagia In The Premenopausal Period ICD 11
ICD 11 code of Postmenopausal uterine bleeding is GA30.1 .
Puberty Menorrhagia ICD 10
Puberty Menorrhagia ICD 10 code is N92.2.
Puberty menorrhagia means excessive bleeding or menstruation at puberty.
So it is within the pediatric category of the ICD 10 CM book. It is a pediatric diagnosis code,
N92.2 applies to pediatric patients aged 0 – 17 years inclusive.
- Excessive bleeding is associated with the onset of menstrual periods
- Pubertal menorrhagia
- Puberty bleeding
Puberty Menorrhagia ICD 11
Puberty Menorrhagia ICD 11 code is GA20.50.
What Is Menometrorrhagia?
Menometrorrhagia is a combined term for two different conditions that sound nearly the same:
Menorrhagia: Is the condition of excessive, heavy, or prolonged menses.
Metrorrhagia: Is the condition of excessive, heavy, prolonged irregular bleeding cycle unrelated to menstruation.
Abnormal uterine bleeding, which is not associated with menses, usually occurs in women without a regular menstrual cycle. The irregular bleeding usually is due to endometrial dysfunction.
Irregular bleeding is also known as metrorrhagia.
ICD 10 Code For Menorrhagia With Irregular Cycle
ICD 10 code for menorrhagia with irregular cycle is N92.1.
ICD 10 code N92.1 is also applicable to the following diagnosis:
- Intermenstrual bleeding, Irregular
- Irregular, shortened intervals between menstrual bleeding
- Metrorrhagia (irregular menstrual bleeding)
ICD 11 Code For Menorrhagia With Irregular Cycle
Irregularity in the menstrual cycle results in either frequent menstruation or infrequent menstruation or cessation of a cycle.
ICD 11 code for the excessive and prolonged bleeding with the irregular menstrual cycle is GA22.
Unspecified Irregular Menstruation ICD 10
ICD 10 CM code for irregular menstruation NOS is N92.6.
This code is used to the condition in which only diagnosis of irregular bleeding is mentioned without any specific cause or related condition.
Unspecified Irregular Menstruation ICD 11
ICD 10 CM code for the menstrual cycle bleeding disorders, unspecified is GA20.Z.
Other Specified Irregular Menstruation ICD 10
ICD 10 code for other specified irregular menstruation is N92.5.
Other Specified Irregular Menstruation ICD 11
ICD 11 code for other specified irregular menstruation is GA20.Y.
What Is Menorrhagia With Dysmenorrhea?
Dysmenorrhea is a condition that is characterized by abnormally painful abdominal cramps during menstruation. Dysmenorrhea with menorrhagia is also known as menorrhalgia.
Menorrhagia With Dysmenorrhea ICD 10
ICD 10 CM code for dysmenorrhea is N94.6, while ICD 10 CM code for menorrhagia is N92.0, so these codes should be used to indicate the diagnosis of excessive and painful bleeding in menstruation.
Type 1 Exclude:
Type 1 exclude condition for dysmenorrhea is Psychogenic dysmenorrheal ICD 10 that is F45.8.
- Painful periods
Menorrhagia With Dysmenorrhea ICD 11
ICD 11 code for menorrhalgia or menorrhagia with dysmenorrhoea is GA34.3.
ICD 10 Menorrhagia With Anemia
ICD 10 Menorrhagia with Anemia is coded as post hemorrhagic anemia (chronic) or anemia due to chronic blood loss, which is is D50.0.
This code is also applicable for iron deficiency anemia secondary to blood loss, while the ICD 10 code for menorrhagia is N92.0.
According to the ICD 10 coding guidelines, code the underlying cause of anemia first. For example, the ICD 10 CM code for menorrhagia N92.0 should be set as the primary pointer, and then ICD 10 for anemia D50.0 should be coded.
Type 1 Exclude:
Type 1 excludes for ICD 10 of chronic blood loss anemia are:
- ICD 10 code for acute posthemorrhagic anemia D62
- ICD 10 code for congenital anemia from fetal blood loss P61.3
ICD 11 Menorrhagia With Anemia
ICD 11 code for the acquired iron deficiency anemia due to blood loss, unspecified is 3A00.0Z.
By Sana Akhtar
Expert Medical Coding & Billing