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.
The most common causes of bleeding or spotting after menopause include:
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
PCOS and Hysterectomy
The differential diagnosis of postmenopausal bleeding includes many benign and malignant conditions, the most common of which is atrophy, but the most concerning possible etiology is endometrial cancer. As with most malignancies, early diagnosis may lead to a better prognosis.
The ICD-10 code for postmenopausal bleeding is N95. 0 and the CPT code for the endometrial biopsy is 58100.
Postmenopausal bleeding is vaginal bleeding that occurs a year or more after your last menstrual period. It can be a symptom of vaginal dryness, polyps (noncancerous growths) or other changes in your reproductive system. In about 10% of women, bleeding after menopause is a sign of uterine cancer.
Examples of tests used to diagnose the cause of postmenopausal bleeding include: Dilation and curettage (D&C): This procedure involves dilating or widening the cervix to obtain a larger tissue sample. It also involves using a special tool called a hysteroscope to see inside the uterus to identify any potential growths.
ICD-10 code: N93. 9 Abnormal uterine and vaginal bleeding, unspecified.
ICD-10 code R93. 89 for Abnormal findings on diagnostic imaging of other specified body structures is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
In most cases, postmenopausal bleeding is caused by issues such as endometrial atrophy (a thinning of the uterine lining), vaginal atrophy, fibroids, or endometrial polyps. The bleeding could also be a sign of endometrial cancer—a malignancy of the uterine lining, but only in a small number of cases.
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.
Menopause occurs when you've stopped producing the hormones that cause your menstrual period and have gone without a period for 12 months in a row. Once this has occurred, you enter postmenopause. Postmenopause is the time after menopause has occurred.
Transvaginal ultrasonography usually is sufficient for an initial evaluation of postmenopausal bleeding if the ultrasound images reveal a thin endometrial echo (less than or equal to 4 mm), given that an endometrial thickness of 4 mm or less has a greater than 99% negative predictive value for endometrial cancer.
Some authors recommended that hysteroscopy should be the standard investigation procedure for women with postmenopausal bleeding.
Vaginal bleeding in senior adults always needs to be examined. It may come from fragile tissue in the vagina. It may be a benign growth like a polyp on the cervix or inside the uterus. A somewhat frequent cause of bleeding in this age group though is actually abnormal cells, including cancer cells, inside the uterus.
58558: (Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D&C) is included when performed with 58561: (Laparoscopic/Hysteroscopic Procedures on the Corpus Uteri).
CPT® 57020, Under Incision Procedures on the Vagina.
Menorrhagia is well-covered by ICD10 codes N92. 0, N92. 2, and N92. 4.
ICD-10 code R31. 9 for Hematuria, unspecified is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
Hormone replacement therapy (HRT) in menopause is medical treatment in surgically menopausal, perimenopausal and postmenopausal women. Its goal is to mitigate discomfort caused by diminished circulating estrogen and progesterone hormones in menopause.
DRG Group #742-743 - Uterine and adnexa procedure for non-malignancy with CC or MCC.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code N95.0. Click on any term below to browse the alphabetical index.
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 627.1 was previously used, N95.0 is the appropriate modern ICD10 code.