2019 ICD-10-CM Diagnosis Code N92.4

Excessive bleeding in the premenopausal period

    2016 2017 2018 2019 Billable/Specific Code Female Dx
  • N92.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM N92.4 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of N92.4 - other international versions of ICD-10 N92.4 may differ.
ICD-10-CM Coding Rules
  • N92.4 is applicable to female patients.
Applicable To
  • Climacteric menorrhagia or metrorrhagia
  • Menopausal menorrhagia or metrorrhagia
  • Preclimacteric menorrhagia or metrorrhagia
  • Premenopausal menorrhagia or metrorrhagia
The following code(s) above N92.4 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to N92.4:
  • N00-N99
    2019 ICD-10-CM Range N00-N99

    Diseases of the genitourinary system

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the genitourinary system
  • N92
    ICD-10-CM Diagnosis Code N92

    Excessive, frequent and irregular menstruation

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • postmenopausal bleeding (N95.0)
    • precocious puberty (menstruation) (E30.1)
    Excessive, frequent and irregular menstruation
Approximate Synonyms
  • Abnormal perimenopausal (around menopause) bleeding
  • Abnormal perimenopausal bleeding
  • Premenopausal menorrhagia
  • Premenopausal menorrhagia (heavy menstrual period)
ICD-10-CM N92.4 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 742 Uterine and adnexa procedures for non-malignancy with cc/mcc
  • 743 Uterine and adnexa procedures for non-malignancy without cc/mcc
  • 760 Menstrual and other female reproductive system disorders with cc/mcc
  • 761 Menstrual and other female reproductive system disorders without cc/mcc

Convert N92.4 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
Code annotations containing back-references to N92.4:
  • Type 1 Excludes: N95
    ICD-10-CM Diagnosis Code N95

    Menopausal and other perimenopausal disorders

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Applicable To
    • Menopausal and other perimenopausal disorders due to naturally occurring (age-related) menopause and perimenopause
    Type 1 Excludes
    • 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-)
    Type 2 Excludes
    • postmenopausal osteoporosis (M81.0-)
    • postmenopausal osteoporosis with current pathological fracture (M80.0-)
    • postmenopausal urethritis (N34.2)

Diagnosis Index entries containing back-references to N92.4:
  • Bleeding - see also Hemorrhage
    • uterus, uterine NEC N93.9
      ICD-10-CM Diagnosis Code N93.9

      Abnormal uterine and vaginal bleeding, unspecified

        2016 2017 2018 2019 Billable/Specific Code Female Dx
      • climacteric N92.4
      • menopausal N92.4
      • preclimacteric or premenopausal N92.4
    • excessive, associated with menopausal onset N92.4
    • menopausal N92.4
    • preclimacteric N92.4
  • Hemorrhage, hemorrhagic (concealed) R58
    ICD-10-CM Diagnosis Code R58

    Hemorrhage, not elsewhere classified

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Hemorrhage NOS
    Type 1 Excludes
    • hemorrhage included with underlying conditions, such as:
    • acute duodenal ulcer with hemorrhage (K26.0)
    • acute gastritis with bleeding (K29.01)
    • ulcerative enterocolitis with rectal bleeding (K51.01)
    • uterus, uterine (abnormal) N93.9
      ICD-10-CM Diagnosis Code N93.9

      Abnormal uterine and vaginal bleeding, unspecified

        2016 2017 2018 2019 Billable/Specific Code Female Dx
      • climacteric N92.4
      • preclimacteric or premenopausal N92.4
  • Menopause, menopausal (asymptomatic) (state) Z78.0
    ICD-10-CM Diagnosis Code Z78.0

    Asymptomatic menopausal state

      2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years) Female Dx POA Exempt
    Applicable To
    • Menopausal state NOS
    • Postmenopausal status NOS
    Type 2 Excludes
    • symptomatic menopausal state (N95.1)
    • bleeding N92.4
  • Menorrhagia (primary) N92.0
    ICD-10-CM Diagnosis Code N92.0

    Excessive and frequent menstruation with regular cycle

      2016 2017 2018 2019 Billable/Specific Code Female Dx
    Applicable To
    • Heavy periods NOS
    • Menorrhagia NOS
    • Polymenorrhea
    • climacteric N92.4
      • menopausal N92.4
    • menopausal N92.4
    • preclimacteric or premenopausal N92.4
  • Metrorrhagia N92.1
    ICD-10-CM Diagnosis Code N92.1

    Excessive and frequent menstruation with irregular cycle

      2016 2017 2018 2019 Billable/Specific Code Female Dx
    Applicable To
    • Irregular intermenstrual bleeding
    • Irregular, shortened intervals between menstrual bleeding
    • Menometrorrhagia
    • Metrorrhagia
    • climacteric N92.4
    • menopausal N92.4
    • preclimacteric or premenopausal N92.4
  • Preclimacteric bleeding N92.4 (menorrhagia)

ICD-10-CM Codes Adjacent To N92.4
N91.1 Secondary amenorrhea
N91.2 Amenorrhea, unspecified
N91.3 Primary oligomenorrhea
N91.4 Secondary oligomenorrhea
N91.5 Oligomenorrhea, unspecified
N92 Excessive, frequent and irregular menstruation
N92.0 Excessive and frequent menstruation with regular cycle
N92.1 Excessive and frequent menstruation with irregular cycle
N92.2 Excessive menstruation at puberty
N92.3 Ovulation bleeding
N92.4 Excessive bleeding in the premenopausal period
N92.5 Other specified irregular menstruation
N92.6 Irregular menstruation, unspecified
N93 Other abnormal uterine and vaginal bleeding
N93.0 Postcoital and contact bleeding
N93.1 Pre-pubertal vaginal bleeding
N93.8 Other specified abnormal uterine and vaginal bleeding
N93.9 Abnormal uterine and vaginal bleeding, unspecified
N94 Pain and other conditions associated with female genital organs and menstrual cycle
N94.0 Mittelschmerz
N94.1 Dyspareunia

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.