N92.4 — Excessive bleeding in the premenopausal period
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.
Inclusion 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
These codes carry an Excludes1 note pointing at N92.4. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading N92.4 alone.
- N95Menopausal and other perimenopausal disorders
Risk adjustment
N92.4 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
N92.4 is named in 5 Medicare coverage policies — 5 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)
- A58649Billing and Coding: IUD (Hormone-Eluting) for Endometrial Hyperplasia - CPT 58999
How N92.4 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 N92.4.
- 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
Related codes at this level
Codes that share N92. If N92.4 is not quite right, the correct code is usually one of these.
Questions about N92.4
- Is N92.4 a billable ICD-10-CM code?
- Yes. N92.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does N92.4 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Noninflammatory disorders of female genital tract (N80-N98).