Is N95.8 a billable ICD-10-CM code?

Yes. N95.8 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does N95.8 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 N95.8?

N95.8 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above N95.8 (N95) and apply to it just the same.

N95.8

N95.8 — Other specified menopausal and perimenopausal disorders

Billable / specific codeICD-10-CM

N95.8 is a billable, specific ICD-10-CM code for other specified menopausal and perimenopausal disorders. It is valid for submission on a claim.

Excludes1 inherited from the categories above N95.8

These are not written on N95.8, but they bind it: a note on a category applies to every code beneath it. Billing N95.8 with anything listed here is a denial.

Written on N95 — Menopausal and other perimenopausal disorders

excessive bleeding in the premenopausal period (N92.4)
menopausal and perimenopausal disorders due to artificial or premature menopause (E89.4-, E28.31-)
premature menopause (E28.31-)

Excludes2 inherited from the categories above N95.8

Also inherited, and the opposite of Excludes1: these conditions are not part of N95.8, but a patient can have both, so you may code both.

Written on N95 — Menopausal and other perimenopausal disorders

postmenopausal osteoporosis (M81.0-)
postmenopausal osteoporosis with current pathological fracture (M80.0-)
postmenopausal urethritis (N34.2)

Risk adjustment

N95.8 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

N95.8 is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57132Billing and Coding: Bone Mass Measurement
A57132Billing and Coding: Bone Mass Measurement
A59040Billing and Coding: Bone Mass Measurement
A59040Billing and Coding: Bone Mass Measurement

How N95.8 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 N95.8.

Postmenopausal›endometrium(atrophic)
Atrophy, atrophic›cervix›menopausal
Disorder›menopausal›specified NEC
Disorder›postmenopausal›specified NEC

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.

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Code history

N95.8 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share N95. If N95.8 is not quite right, the correct code is usually one of these.

Questions about N95.8

Is N95.8 a billable ICD-10-CM code?: Yes. N95.8 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does N95.8 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 N95.8?: N95.8 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above N95.8 (N95) and apply to it just the same.