ICD-10 Coding for Menorrhagia with Irregular Cycle(N92.1)
Complete ICD-10-CM coding and documentation guide for Menorrhagia with Irregular Cycle. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Menorrhagia with Irregular Cycle
N92-N93Primary Range
Excessive, frequent and irregular menstruation
This range includes codes for various types of abnormal uterine bleeding, including menorrhagia with irregular cycles.
Key Information: ICD-10 code for menorrhagia with irregular cycle
Essential facts and insights about Menorrhagia with Irregular Cycle
Primary ICD-10-CM Code for menorrhagia with irregular cycle
Decision Criteria
clinical Criteria
- Documented cycle irregularity and heavy bleeding
coding Criteria
- Use N92.1 when cycles are irregular and bleeding is excessive
documentation Criteria
- Include cycle length and bleeding volume in documentation
Applicable To
- Heavy menstrual bleeding with irregular cycle
Excludes
- Menometrorrhagia (N92.1 excludes menometrorrhagia)
Clinical Validation Requirements
- Cycle length variability >7 days
- Heavy flow >80 mL/cycle
- Hemoglobin <12 g/dL
Code-Specific Risks
- Incorrectly coding as N92.6 for unspecified irregular menstruation
Coding Notes
- Ensure documentation supports the irregularity and severity of bleeding.
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 Menorrhagia with Irregular Cycle to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N92.1.
Impact
Clinical: Misrepresentation of patient's condition., Regulatory: Potential audit failure., Financial: Claim denials due to insufficient documentation.
Mitigation Strategy
Ensure detailed menstrual history is recorded., Include specific cycle lengths and bleeding details.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use N92.0 for regular cycles with excessive bleeding.
Impact
Failure to document cycle irregularity can lead to audit issues.
Mitigation Strategy
Implement standardized documentation templates.
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 Menorrhagia with Irregular Cycle, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Menorrhagia with Irregular Cycle
Use these documentation templates to ensure complete and accurate documentation for Menorrhagia with Irregular Cycle. These templates include all required elements for proper coding and billing.
Menorrhagia with PCOS
Specialty: GynecologyRequired Elements
- Menstrual cycle history
- Bleeding volume
- Underlying conditions
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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