icd 10 code for excessive bleeding in the premenopausal period

by Rylan Daugherty 4 min read

4 Excessive bleeding in the premenopausal period. Menorrhagia or metrorrhagia: climacteric.

What causes post menopausal bleeding?

Other potential causes of postmenopausal bleeding include:

  • Infection of the uterine lining, known as endometritis
  • Injury to the vagina from the insertion of foreign objects or sexual trauma
  • Some medications, such as tamoxifen for breast cancer or blood-thinning medications ( anticoagulants)
  • Sexually transmitted infections (STIs) such as chlamydia, gonorrhea, and herpes can cause postmenopausal bleeding.

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What causes persistent bleeding post-menopausal?

There are a variety of other conditions that can cause postmenopausal bleeding. Some common causes include: polyps, endometrial hyperplasia, and endometrial atrophy . Uterine polyps are noncancerous growths. Though benign, some polyps may eventually become cancerous. The only symptom most patients with polyps will experience is irregular bleeding.

What should I know about post-menopausal bleeding?

Common Causes of Postmenopausal Bleeding

  • Hormonal imbalance. Menopause is a time of hormonal change, and as these shifts occur in your body, these hormones sometimes become imbalanced.
  • Insulin resistance and nutrition. I can't say it often enough - nutrients are crucial in supporting hormonal balance. ...
  • Radical weight loss. ...
  • Emotional stress. ...

What causes postmenopausal vaginal bleeding?

There can be several causes of postmenopausal bleeding. The most common causes are: inflammation and thinning of the vaginal lining (atrophic vaginitis) or womb lining (endometrial atrophy) – caused by lower oestrogen levels cervical or womb polyps – growths that are usually non-cancerous

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What is the ICD-10 code for perimenopausal bleeding?

ICD-10 code N92. 4 for Excessive bleeding in the premenopausal period is a medical classification as listed by WHO under the range - Diseases of the genitourinary system .

What is the ICD-10 code for heavy menstrual bleeding?

ICD-10-CM Code for Excessive and frequent menstruation with regular cycle N92. 0.

What is the difference between menorrhagia and Menometrorrhagia?

It's a combination of two different conditions: menorrhagia, which is heavy bleeding during your period, and metrorrhagia, which is when your period lasts more than seven days or you have spotting between periods.

What is abnormal perimenopausal bleeding?

In perimenopause changes in hormone levels interfere with ovulation. If ovulation does not occur, the ovary will continue making estrogen, causing the endometrium to keep thickening. This often leads to a late menstrual period followed by irregular bleeding and spotting.

What menorrhagia mean?

Menorrhagia is menstrual bleeding that lasts more than 7 days. It can also be bleeding that is very heavy.

What is Polymenorrhea medical?

The definition of a normal menstrual interval is 21 to 37 days. Therefore menstruation occurring more frequently than 21 days is considered abnormal (polymenorrhea), and menstruation occurring less frequently than every 37 days is considered abnormal (oligomenorrhea).

What is the term for excessive frequency of menstruation?

Polymenorrhea: Too frequent menstruation. Oligomenorrhea: Infrequent or light menstrual cycles.

What term has replaced metrorrhagia and menorrhagia?

Menometrorrhagia is actually a combination of two menstrual disorders: menorrhagia, which is heavy uterine bleeding that occurs at regular intervals. metrorrhagia, which is irregular bleeding.

What is metrorrhagia Polymenorrhea?

These include metrorrhagia (flow at irregular intervals), menometrorrhagia (frequent, excessive flow), polymenorrhea (bleeding at intervals < 21 d), and dysfunctional uterine bleeding (abnormal uterine bleeding without any obvious structural or systemic abnormality).

Can perimenopause cause excessive bleeding?

Heavier Periods When your estrogen levels are higher than your progesterone levels, the uterine lining grows and leads to more bleeding. While heavy periods are a common symptom of perimenopause, they can be dangerous. Losing too much blood can lead to iron deficiency.

What is premenopausal menorrhagia?

ABNORMALLY HEAVY BLEEDING About 25 percent of women have heavy bleeding (sometimes called hypermenorrhea, menorrhagia, or flooding) during perimenopause. Some women's menstrual flow during perimenopause is so heavy that even supersized tampons or pads cannot contain it.

What causes heavy bleeding during perimenopause?

When your estrogen levels are high in comparison to your progesterone levels, your uterine lining builds. This results in heavier bleeding during your period as your lining sheds. A skipped period can also cause the lining to build up, leading to heavy bleeding.

What is the ICd 10 code for bleeding during the premenopausal period?

N92.4 is a valid billable ICD-10 diagnosis code for Excessive bleeding in the premenopausal period . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 .

When an excludes2 note appears under a code, is it acceptable to use both the code and the excluded code

When an Excludes2 note appears under a code it is acceptable to use both the code and the excluded code together. A “code also” note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction. The sequencing depends on the circumstances of the encounter.

Do you include decimal points in ICD-10?

DO NOT include the decimal point when electronically filing claims as it may be rejected. Some clearinghouses may remove it for you but to avoid having a rejected claim due to an invalid ICD-10 code, do not include the decimal point when submitting claims electronically. See also:

The ICD code N924 is used to code Metrorrhagia

Metrorrhagia (metro = womb, -rrhagia = excessive flow) is uterine bleeding at irregular intervals, particularly between the expected menstrual periods.

Coding Notes for N92.4 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.

MS-DRG Mapping

DRG Group #742-743 - Uterine and adnexa procedure for non-malignancy with CC or MCC.

ICD-10-CM Alphabetical Index References for 'N92.4 - Excessive bleeding in the premenopausal period'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code N92.4. Click on any term below to browse the alphabetical index.

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 627.0 was previously used, N92.4 is the appropriate modern ICD10 code.

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