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N91

N91Absent, scanty and rare menstruation

Non-billable headerICD-10-CM

N91 is a non-billable header ICD-10-CM code for absent, scanty and rare menstruation. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • ovarian dysfunction (E28.-)

Other codes that can never be billed with N91

These codes carry an Excludes1 note pointing at N91. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading N91 alone.

  • N92.6Irregular menstruation, unspecified

Risk adjustment

N91 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead N91

6 child codes. Green means billable.

Questions about N91

Is N91 a billable ICD-10-CM code?
No. N91 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does N91 sit in the tabular list?
Diseases of the genitourinary system (N00-N99), in the block Noninflammatory disorders of female genital tract (N80-N98).
What cannot be coded together with N91?
N91 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.