ICD-10 Coding for Vasomotor Symptoms(N95.1, E89.4)
Complete ICD-10-CM coding and documentation guide for Vasomotor Symptoms. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Vasomotor Symptoms
N95.0-N95.9Primary Range
Menopausal and other perimenopausal disorders
This range includes codes for menopausal disorders, including vasomotor symptoms related to natural menopause.
Postprocedural ovarian failure
Used for vasomotor symptoms due to artificial menopause, such as post-surgical cases.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| N95.1 | Menopausal and female climacteric states | Use for natural menopause-related vasomotor symptoms in women typically aged 45-55. |
|
| E89.4 | Postprocedural ovarian failure | Use for vasomotor symptoms due to surgical or artificial menopause. |
|
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 vasomotor symptoms
Essential facts and insights about Vasomotor Symptoms
Primary ICD-10-CM Codes for vasomotor symptoms
Decision Criteria
clinical Criteria
- Symptoms linked to natural menopause with supporting lab results.
Applicable To
- Hot flashes
- Night sweats
Excludes
- Artificial menopause (E89.4)
Clinical Validation Requirements
- FSH >30 mIU/mL
- Amenorrhea ≥12 months
Code-Specific Risks
- Incorrectly used for artificial menopause without proper documentation.
Coding Notes
- Ensure documentation specifies natural menopause as the cause of symptoms.
E89.4 - Postprocedural ovarian failure
Use for vasomotor symptoms due to surgical or artificial menopause.
Applicable To
- Vasomotor symptoms post-surgery
Excludes
- Natural menopause (N95.1)
Clinical Validation Requirements
- History of surgical menopause
Coding Notes
Ensure surgical history is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Flushing
R23.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Vasomotor Symptoms to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N95.1.
Impact
Clinical: Misdiagnosis risk., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always document menopausal status., Use specific symptom descriptions.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use E89.4 for artificial menopause-related symptoms.
Impact
Using N95.1 for artificial menopause.
Mitigation Strategy
Verify menopausal status and surgical history.
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 Vasomotor Symptoms, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Vasomotor Symptoms
Use these documentation templates to ensure complete and accurate documentation for Vasomotor Symptoms. These templates include all required elements for proper coding and billing.
Menopausal Symptoms Documentation
Specialty: GynecologyRequired Elements
- Menopausal status
- Symptom frequency
- Symptom severity
- Exclusion of differentials
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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