N95 — Menopausal and other perimenopausal disorders
N95 is a non-billable header ICD-10-CM code for menopausal and other perimenopausal disorders. 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.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Menopausal and other perimenopausal disorders due to naturally occurring (age-related) menopause and perimenopause
Other codes that can never be billed with N95
These codes carry an Excludes1 note pointing at N95. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading N95 alone.
- N92Excessive, frequent and irregular menstruation
Risk adjustment
N95 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 N95
5 child codes. Green means billable.
Questions about N95
- Is N95 a billable ICD-10-CM code?
- No. N95 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does N95 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 N95?
- N95 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.