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ICD-10 Coding for Menorrhagia with Regular Cycle(N92.0)

Complete ICD-10-CM coding and documentation guide for Menorrhagia with Regular Cycle. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Heavy Periods with Regular CycleExcessive Menstrual Bleeding with Regular CyclePolymenorrhea

Related ICD-10 Code Ranges

Complete code families applicable to Menorrhagia with Regular Cycle

N92.0-N92.9Primary Range

Excessive, frequent and irregular menstruation

This range includes codes for various types of excessive and irregular menstruation, with N92.0 specifically addressing menorrhagia with a regular cycle.

Key Information: ICD-10 code for menorrhagia with regular cycle

Essential facts and insights about Menorrhagia with Regular Cycle

The ICD-10 code for menorrhagia with a regular cycle is N92.0, indicating excessive menstrual bleeding at regular intervals.

Primary ICD-10-CM Code for menorrhagia with regular cycle

Excessive and frequent menstruation with regular cycle
Billable Code

Decision Criteria

clinical Criteria

  • Documented regular menstrual cycles with excessive bleeding

coding Criteria

  • Use N92.0 for regular cycles; N92.1 for irregular cycles

documentation Criteria

  • Include cycle length and blood loss quantification

Applicable To

  • Heavy periods NOS
  • Polymenorrhea

Excludes

Clinical Validation Requirements

  • Regular menstrual cycles (21-35 days)
  • Blood loss >80 mL per cycle
  • Hemoglobin <12 g/dL
  • Ferritin <30 ng/mL

Code-Specific Risks

  • Confusion with N92.1 if cycle regularity is not documented

Coding Notes

  • Ensure cycle regularity is documented to differentiate from N92.1.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Acute posthemorrhagic anemia

D62
Use when anemia is documented as secondary to menorrhagia.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Excessive and frequent menstruation with irregular cycle

N92.1
Use N92.1 for irregular menstrual cycles with excessive bleeding.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Menorrhagia with Regular Cycle to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N92.0.

Impact

Clinical: Misclassification of menstrual disorder., Regulatory: Non-compliance with ICD-10 coding rules., Financial: Potential claim denials.

Mitigation Strategy

Train staff on documentation standards., Use templates that prompt for cycle details.

Impact

Reimbursement: Potential denial due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on menstrual disorders.

Mitigation Strategy

Ensure documentation specifies regular cycle intervals (21-35 days).

Impact

Lack of cycle regularity documentation can lead to audit findings.

Mitigation Strategy

Implement documentation templates that include cycle details.

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 Regular Cycle, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Menorrhagia with Regular Cycle

Use these documentation templates to ensure complete and accurate documentation for Menorrhagia with Regular Cycle. These templates include all required elements for proper coding and billing.

Menorrhagia with Regular Cycle

Specialty: OB/GYN

Required Elements

  • Cycle length
  • Bleeding duration
  • Pad/tampon usage
  • Clot size
  • Anemia symptoms
  • Lab results

Example Documentation

Patient reports 28-day cycles with 7-day heavy bleeding, requiring 10 pads/day. Clots >1 inch. Hgb 10.2 g/dL.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has heavy periods.
Good Documentation Example
Patient reports regular 28-day cycles with >80 mL blood loss, requiring hourly pad changes.
Explanation
The good example specifies cycle regularity and quantifies blood loss, meeting documentation standards.

Need help with ICD-10 coding for Menorrhagia with Regular Cycle? Ask your questions below.

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