ICD-10 Coding for Heavy Periods(N92.0, N92.1)
Complete ICD-10-CM coding and documentation guide for Heavy Periods. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Heavy Periods
N92.0-N92.6Primary Range
Excessive, frequent and irregular menstruation
This range includes codes for various types of heavy menstrual bleeding, including regular and irregular cycles.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N92.0 | Excessive and frequent menstruation with regular cycle | Use for patients with regular menstrual cycles experiencing heavy bleeding. |
|
| N92.1 | Excessive and frequent menstruation with irregular cycle | Use for patients with irregular menstrual cycles experiencing heavy bleeding. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for heavy periods
Essential facts and insights about Heavy Periods
Primary ICD-10-CM Codes for heavy period
Decision Criteria
clinical Criteria
- Regular cycle with excessive bleeding
Applicable To
- Heavy periods with regular cycles
Excludes
- Irregular menstruation (N92.1)
Clinical Validation Requirements
- PBAC score ≥100
- Cycle length 21-35 days
Code-Specific Risks
- Misclassification with irregular cycles
Coding Notes
- Ensure documentation specifies regular cycle patterns and quantifies blood loss.
N92.1 - Excessive and frequent menstruation with irregular cycle
Use for patients with irregular menstrual cycles experiencing heavy bleeding.
Applicable To
- Heavy periods with irregular cycles
Excludes
- Regular menstruation (N92.0)
Clinical Validation Requirements
- Cycle length <21 or >35 days
- PBAC score >100
Coding Notes
Document irregular cycle patterns and quantify blood loss accurately.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Heavy Periods to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N92.0.
Impact
Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Document cycle length and regularity, Use structured templates
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate clinical data recording.
Mitigation Strategy
Ensure cycle patterns are clearly documented as regular or irregular.
Impact
Inadequate documentation of cycle regularity or irregularity.
Mitigation Strategy
Use standardized templates to ensure complete documentation.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Heavy Periods, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Heavy Periods
Use these documentation templates to ensure complete and accurate documentation for Heavy Periods. These templates include all required elements for proper coding and billing.
Heavy menstrual bleeding with regular cycles
Specialty: GynecologyRequired Elements
- Menstrual history
- Quantified blood loss
- Cycle regularity
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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