ICD-10 Coding for Menorrhagia(N92.0, N92.2)
Complete ICD-10-CM coding and documentation guide for Menorrhagia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Menorrhagia
N92.0-N92.6Primary Range
Excessive, frequent and irregular menstruation
This range includes codes specifically for different types of menorrhagia based on cycle regularity and patient age.
Iron deficiency anemia secondary to blood loss (chronic)
Used to code anemia that results from chronic blood loss due to menorrhagia.
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 when the patient has regular menstrual cycles with excessive bleeding. |
|
| N92.2 | Excessive menstruation at puberty | Use for patients experiencing excessive bleeding at the onset of puberty. |
|
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 menorrhagia
Essential facts and insights about Menorrhagia
Primary ICD-10-CM Codes for menorrhagia
Decision Criteria
clinical Criteria
- Regular cycles with excessive bleeding
documentation Criteria
- Documented cycle regularity and blood loss
Applicable To
- Heavy regular periods
Excludes
- Irregular menstruation (N92.6)
Clinical Validation Requirements
- Cycle tracking chart showing >80mL loss
- Ferritin <30 ng/mL + MCV <80 fL
Code-Specific Risks
- Incorrectly coding as irregular menstruation when cycles are regular.
Coding Notes
- Ensure documentation specifies regularity of cycles and quantifies blood loss.
N92.2 - Excessive menstruation at puberty
Use for patients experiencing excessive bleeding at the onset of puberty.
Applicable To
- Puberty-onset flooding
Excludes
- Menorrhagia not related to puberty (N92.0)
Clinical Validation Requirements
- Patient age and onset of menarche
- Documented excessive bleeding
Coding Notes
Ensure documentation includes age and puberty status.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Iron deficiency anemia secondary to blood loss (chronic)
D50.0Differential 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 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: Potential for audit issues., Financial: Risk of claim denials.
Mitigation Strategy
Ensure detailed menstrual history is taken., Use standardized templates for documentation.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Code D25.9 + N92.0 instead
Impact
Inadequate documentation can lead to audit findings.
Mitigation Strategy
Use detailed templates and ensure complete history is recorded.
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 expert answers to help guide accurate code selection and documentation.
Documentation Templates for Menorrhagia
Use these documentation templates to ensure complete and accurate documentation for Menorrhagia. These templates include all required elements for proper coding and billing.
Menorrhagia in gynecology
Specialty: GynecologyRequired Elements
- Menstrual history
- Bleeding duration and volume
- Impact on daily activities
- Objective findings
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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