What ICD-10 codes are used for perimenopause?
Perimenopause is that transition phase before menopause where your client’s hormones start shifting, think irregular periods, hot flashes, mood swings, and sleep troubles.
In the ICD-10-CM, this stage falls under diseases of the genitourinary system and noninflammatory disorders of female genital tract, specifically, category N95– which is for menopausal and other perimenopausal disorders. This is specifically used for conditions related to naturally occurring, age-related menopause and perimenopause.
N95 specifically excludes conditions such as excessive bleeding in the premenopausal period and menopausal or perimenopausal disorders due to artificial or premature menopause (Type 1). Meanwhile, type 2 excludes postmenopausal osteoporosis and postmenopausal urethritis, etc.
Here are commonly used codes for perimenopause:
N95.8 Other specified menopausal and perimenopausal disorders
This is used when the client has symptoms clearly related to menopause or perimenopause, but they don’t fit neatly into the more common categories. You’d use this when the condition is specified in the documentation, but no specific code exists for it.
N95.9 Unspecified menopausal and perimenopausal disorder
It is used when the noting symptoms related to menopause or perimenopause but doesn’t give enough detail to choose a more specific code. It’s essentially a catch-all for vague or undocumented cases.
These codes apply only to female patients.