N92.4
N92.4: Excessive bleeding in the premenopausal period
Billable / specific codeICD-10-CM
N92.4 is a billable, specific ICD-10-CM code for excessive bleeding in the premenopausal period. It is valid for submission on a claim.
Check N92.4 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Climacteric menorrhagia or metrorrhagia
- Menopausal menorrhagia or metrorrhagia
- Perimenopausal bleeding
- Perimenopausal menorrhagia or metrorrhagia
- Preclimacteric menorrhagia or metrorrhagia
- Premenopausal menorrhagia or metrorrhagia
Other codes that can never be billed with N92.4
Their own Excludes1 notes name this code, so the conflict is not listed above.
- N95Menopausal and other perimenopausal disorders
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
N92.4 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- 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)
- A58649Billing and Coding: IUD (Hormone-Eluting) for Endometrial Hyperplasia - CPT 58999
Alphabetic index entries that lead here
- Preclimacteric bleeding(menorrhagia)
- Bleeding›excessive, associated with menopausal onset
- Bleeding›menopausal
- Bleeding›perimenopausal
- Bleeding›preclimacteric
- Menopause, menopausal›bleeding
- Menorrhagia›climacteric
- Menorrhagia›menopausal
- Menorrhagia›perimenopausal
- Menorrhagia›preclimacteric or premenopausal
- Metrorrhagia›climacteric
- Metrorrhagia›menopausal
Code history
Unchanged in every release from FY2024 to FY2027.