Z78.0
Z78.0: Asymptomatic menopausal state
Billable / specific codeICD-10-CMPOA exempt
Z78.0 is a billable, specific ICD-10-CM code for asymptomatic menopausal state. It is valid for submission on a claim.
Check Z78.0 with the rest of the claim: free scrubberExcludes2: 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.
- symptomatic menopausal state (N95.1)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Menopausal state NOS
- Postmenopausal status NOS
Other codes that can never be billed with Z78.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- N95.1Menopausal and female climacteric states
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Z78.0 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52421Billing and Coding: Ibandronate Sodium
- A57132Billing and Coding: Bone Mass Measurement
- A59040Billing and Coding: Bone Mass Measurement
Alphabetic index entries that lead here
- Menopause, menopausal(asymptomatic) (state)
- State›climacteric, female
- State›menopausal
Code history
Unchanged in every release from FY2024 to FY2027.