What are Menorrhagia ICD-10-CM Codes?
Menorrhagia, a common and disruptive menstrual disorder, is marked by abnormally heavy menstrual bleeding that often lasts longer than seven days or requires frequent pad or tampon changes. This condition can be linked to frequent menstruation, irregular menstruation, postmenopausal bleeding, shortened intervals, or excessive bleeding. It may coexist with other menstrual irregularities such as irregular menstruation, menometrorrhagia, or postmenopausal bleeding.
To ensure precise clinical documentation and insurance billing, the ICD-10-CM system provides a specific set of codes for classifying abnormal uterine and vaginal bleeding conditions and menstrual bleeding menometrorrhagia
, especially when linked to menstrual cycle disruptions or underlying gynecologic pathology. Below, you'll find the most frequently used menorrhagia ICD-10 codes, each matched to its clinical definition and usage.
- N92.0 – Excessive and frequent menstruation with regular cycle: This code is used when a patient reports abnormally heavy menstrual bleeding that occurs at regular cycle intervals. Although the cycle timing is predictable, the excessive bleeding and volume often signal an abnormal uterine condition requiring evaluation and treatment.
- N92.1 – Excessive and frequent menstruation with irregular cycle: Assigned when menstrual bleeding is not only heavy but also frequent and irregular, disrupting the patient’s typical rhythm. This form of abnormal uterine bleeding may suggest hormonal imbalances, fibroids, or other underlying conditions.
- N92.2 – Excessive menstruation at puberty: This code applies to early adolescents who experience heavy periods soon after menarche. Often part of the transitional premenopausal period, this diagnosis may signal normal variation or abnormal uterine pathology and must be carefully evaluated.
- N92.3 – Ovulation bleeding: This category refers to abnormal uterine bleeding associated with ovulation, typically presenting as mid-cycle spotting or heavier-than-normal bleeding not attributed to puberty or perimenopausal hormonal changes
- N92.4 – Excessive bleeding in the premenopausal period: Used for patients nearing menopause experiencing frequent menstruation with irregular intervals and high flow. Abnormally heavy menstrual bleeding at this stage is often linked to hormonal changes or irregular cycle disruptions.
- N92.5 – Other specified excessive and frequent menstruation: This code addresses complex presentations such as menstrual bleeding with scanty bleeding patterns alternating with frequent and irregular menstruation, which don't fit into predefined categories.