N94.3

N94.3: Premenstrual tension syndrome

Billable / specific codeICD-10-CM

N94.3 is a billable, specific ICD-10-CM code for premenstrual tension syndrome. It is valid for submission on a claim.

Check N94.3 with the rest of the claim: free scrubber

Excludes1: never code together

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

Premenstrual dysphoric disorder (F32.81)

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

associated menstrual migraine (G43.82-, G43.83-)

Other codes that can never be billed with N94.3

Their own Excludes1 notes name this code, so the conflict is not listed above.

F32.81Premenstrual dysphoric disorder

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

N94.3 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57130Billing and Coding: Psychiatric Codes

Alphabetic index entries that lead here

Molimen, molimina(menstrual)
Pain›premenstrual
Premenstrual›tension(syndrome)
Syndrome›premenstrual tension
Tension›premenstrual

Code history

Unchanged in every release from FY2024 to FY2027.