ICD-10 Coding for Vaginal Bleeding(N93.8, N92.4, N95.0, N93.0)
Complete ICD-10-CM coding and documentation guide for Vaginal Bleeding. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Vaginal Bleeding
N92-N93Primary Range
Excessive, frequent and irregular menstruation and other abnormal uterine and vaginal bleeding
This range includes codes for various types of abnormal uterine and vaginal bleeding, which are primary for this condition.
Menopausal and other perimenopausal disorders
Includes codes for postmenopausal bleeding, relevant for differentiating menopausal status.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N93.8 | Other specified abnormal uterine and vaginal bleeding | Use for specified abnormal bleeding not classified elsewhere. |
|
| N92.4 | Excessive bleeding in the premenopausal period | Use for excessive bleeding in premenopausal women. |
|
| N95.0 | Postmenopausal bleeding | Use for any bleeding occurring after menopause. |
|
| N93.0 | Postcoital bleeding | Use for bleeding occurring after sexual intercourse. |
|
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 postmenopausal bleeding
Essential facts and insights about Vaginal Bleeding
Primary ICD-10-CM Codes for vaginal bleeding
Decision Criteria
clinical Criteria
- Presence of irregular cycles or postcoital bleeding
Applicable To
- Irregular cycles
- Postcoital bleeding
Excludes
- Postmenopausal bleeding (N95.0)
Clinical Validation Requirements
- Irregular cycles documented
- Postcoital bleeding with cervical ectropion
Code-Specific Risks
- Misclassification if underlying cause is known
Coding Notes
- Ensure documentation specifies the type of bleeding.
N92.4 - Excessive bleeding in the premenopausal period
Use for excessive bleeding in premenopausal women.
Applicable To
- Menorrhagia
Excludes
- Postmenopausal bleeding (N95.0)
Clinical Validation Requirements
- Menorrhagia >80mL/cycle
- Anemia with Hb <11 g/dL
Coding Notes
Document the volume and duration of bleeding.
N95.0 - Postmenopausal bleeding
Use for any bleeding occurring after menopause.
Applicable To
- Bleeding ≥12 months post-LMP
Excludes
- Bleeding due to neoplasm (C54.1)
Clinical Validation Requirements
- Endometrial thickness >4mm on ultrasound
- Endometrial biopsy results
Coding Notes
Ensure postmenopausal status is clearly documented.
N93.0 - Postcoital bleeding
Use for bleeding occurring after sexual intercourse.
Applicable To
- Bleeding after intercourse
Excludes
- Bleeding due to cervical cancer (C53.0)
Clinical Validation Requirements
- Cervical friability on exam
- Bleeding within 24h of intercourse
Coding Notes
Document the timing and context of bleeding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for routine gynecological examination
Z01.41Polycystic ovarian syndrome
E28.2Family history of malignant neoplasm of genital organs
Z80.4Supervision of normal first pregnancy
Z34.0Differential 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 Vaginal Bleeding to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N93.8.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Increases risk of audit findings., Financial: Potential for denied claims.
Mitigation Strategy
Use structured templates for documentation, Verify documentation before coding
Impact
Reimbursement: May lead to reduced reimbursement rates., Compliance: Increases risk of audit and non-compliance., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Ensure documentation supports the most specific code available.
Impact
Risk of using unspecified codes when specific codes are available.
Mitigation Strategy
Implement regular training on documentation specificity.
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 Vaginal Bleeding, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Vaginal Bleeding
Use these documentation templates to ensure complete and accurate documentation for Vaginal Bleeding. These templates include all required elements for proper coding and billing.
Gynecological Examination for Abnormal Bleeding
Specialty: GynecologyRequired Elements
- Menstrual history
- Physical exam findings
- Diagnostic test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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