Is N92.1 a billable ICD-10-CM code?

Yes. N92.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does N92.1 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 N92.1?

N92.1 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above N92.1 (N92) and apply to it just the same.

N92.1

N92.1 — Excessive and frequent menstruation with irregular cycle

Billable / specific codeICD-10-CM

N92.1 is a billable, specific ICD-10-CM code for excessive and frequent menstruation with irregular cycle. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Irregular intermenstrual bleeding
Irregular, shortened intervals between menstrual bleeding
Menometrorrhagia
Metrorrhagia

Excludes1 inherited from the categories above N92.1

These are not written on N92.1, but they bind it: a note on a category applies to every code beneath it. Billing N92.1 with anything listed here is a denial.

Written on N92 — Excessive, frequent and irregular menstruation

postmenopausal bleeding (N95.0)
precocious puberty (menstruation) (E30.1)

Other codes that can never be billed with N92.1

These codes carry an Excludes1 note pointing at N92.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading N92.1 alone.

N92.6Irregular menstruation, unspecified

Risk adjustment

N92.1 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.

Medicare coverage

N92.1 is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A53043Billing and Coding: Endometrial Hyperplasia Treatment
A55061Billing and Coding: IUD (Hormone-Eluting) for Endometrial Hyperplasia - CPT 58999
A55951Billing and Coding: Endometrial Hyperplasia Treatment with Intrauterine Device (Hormone-Eluting)
A56421Billing and Coding: CT of the Abdomen and Pelvis

How N92.1 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to N92.1.

Menometrorrhagia
Metrorrhagia
Periods›shortened intervals(irregular)
Bleeding›intermenstrual›irregular
Excess, excessive, excessively›menstruation›with irregular cycle
Hemorrhage, hemorrhagic›intermenstrual›irregular
Menstruation›excessive›with irregular cycle
Spots, spotting›intermenstrual›irregular
Hemorrhage, hemorrhagic›uterus, uterine›intermenstrual›irregular

Code history

N92.1 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share N92. If N92.1 is not quite right, the correct code is usually one of these.

Questions about N92.1

Is N92.1 a billable ICD-10-CM code?: Yes. N92.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does N92.1 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 N92.1?: N92.1 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above N92.1 (N92) and apply to it just the same.