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.
The condition this code belongs to
Every code for the condition on one page, which one applies when, and the mistake coders make with it.
Code history
N95 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
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 Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.