ICD-10-CM Codes
N00-N99 Diseases of the genitourinary system
N80-N98 Noninflammatory disorders of female genital tract
N95- Menopausal and other perimenopausal disorders

2018/2019 ICD-10-CM Diagnosis Code N95.1

Menopausal and female climacteric states

2016

2017

2018

2019

Billable/Specific Code

Female Dx

N95.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2018/2019 edition of ICD-10-CM N95.1 became effective on October 1, 2018.
This is the American ICD-10-CM version of N95.1 - other international versions of ICD-10 N95.1 may differ.

ICD-10-CM Coding Rules

N95.1 is applicable to female patients.

Applicable To

Symptoms such as flushing, sleeplessness, headache, lack of concentration, associated with natural (age-related) menopause

Use Additional

Use Additional Help

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.

code for associated symptoms

Type 1 Excludes

Type 1 Excludes Help

A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as N95.1. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

asymptomatic menopausal state (
ICD-10-CM Diagnosis Code Z78.0
Asymptomatic menopausal state
Applicable To
- Menopausal state NOS
- Postmenopausal status NOS
Type 2 Excludes
- symptomatic menopausal state (N95.1)
Z78.0
)
symptoms associated with artificial menopause (
ICD-10-CM Diagnosis Code E89.41
Symptomatic postprocedural ovarian failure
Applicable To
- Symptoms such as flushing, sleeplessness, headache, lack of concentration, associated with postprocedural menopause
E89.41
)
symptoms associated with premature menopause (
ICD-10-CM Diagnosis Code E28.310
Symptomatic premature menopause
Applicable To
- Symptoms such as flushing, sleeplessness, headache, lack of concentration, associated with premature menopause
E28.310
)

The following code(s) above N95.1 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 N95.1:

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
N95
ICD-10-CM Diagnosis Code N95
Menopausal and other perimenopausal disorders
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)
Menopausal and other perimenopausal disorders

Approximate Synonyms

Hot flashes, menopausal, female
Menopausal flushing
Menopausal symptom
Menopausal symptoms

ICD-10-CM N95.1 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 N95.1 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 N95.1:

Code First: R23.2
, R61

ICD-10-CM Diagnosis Code R23.2
Flushing
Applicable To
- Excessive blushing
Code First
- , if applicable, menopausal and female climacteric states (N95.1)
ICD-10-CM Diagnosis Code R61
Generalized hyperhidrosis
Applicable To
- Excessive sweating
- Night sweats
- Secondary hyperhidrosis
Code First
- , if applicable, menopausal and female climacteric states (N95.1)
Type 1 Excludes
- focal (primary) (secondary) hyperhidrosis (L74.5-)
- Frey's syndrome (L74.52)
- localized (primary) (secondary) hyperhidrosis (L74.5-)
Type 2 Excludes: Z78.0

ICD-10-CM Diagnosis Code Z78.0
Asymptomatic menopausal state
Applicable To
- Menopausal state NOS
- Postmenopausal status NOS
Type 2 Excludes
- symptomatic menopausal state (N95.1)

Diagnosis Index entries containing back-references to N95.1:

Climacteric (female) - see also Menopause
- symptoms N95.1 (female)
Flushing R23.2
ICD-10-CM Diagnosis Code R23.2
Flushing
Applicable To
Excessive blushing
Code First
, if applicable, menopausal and female climacteric states (N95.1)
- menopausal N95.1
Hot flashes
- menopausal N95.1
Menopause, menopausal (asymptomatic) (state) Z78.0
ICD-10-CM Diagnosis Code Z78.0
Asymptomatic menopausal state
Applicable To
Menopausal state NOS
Postmenopausal status NOS
Type 2 Excludes
symptomatic menopausal state (N95.1)
- symptomatic N95.1
Sleeplessness - see Insomnia
- menopausal N95.1
State (of)
- climacteric, female 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)
  - symptomatic N95.1
- menopausal 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)
  - symptomatic N95.1
Symptoms NEC R68.89
ICD-10-CM Diagnosis Code R68.89
Other general symptoms and signs
- menopausal N95.1
Vertigo R42
ICD-10-CM Diagnosis Code R42
Dizziness and giddiness
Applicable To
Light-headedness
Vertigo NOS
Type 1 Excludes
vertiginous syndromes (H81.-)
vertigo from infrasound (T75.23)
- menopausal N95.1

ICD-10-CM Codes Adjacent To N95.1

N94.6 Dysmenorrhea, unspecified

N94.8 Other specified conditions associated with female genital organs and menstrual cycle

N94.81 Vulvodynia

N94.810 Vulvar vestibulitis

N94.818 Other vulvodynia

N94.819 …… unspecified

N94.89 Other specified conditions associated with female genital organs and menstrual cycle

N94.9 Unspecified condition associated with female genital organs and menstrual cycle

N95 Menopausal and other perimenopausal disorders

N95.0 Postmenopausal bleeding

N95.1 Menopausal and female climacteric states

N95.2 Postmenopausal atrophic vaginitis

N95.8 Other specified menopausal and perimenopausal disorders

N95.9 Unspecified menopausal and perimenopausal disorder

N96 Recurrent pregnancy loss

N97 Female infertility

N97.0 Female infertility associated with anovulation

N97.1 Female infertility of tubal origin

N97.2 Female infertility of uterine origin

N97.8 Female infertility of other origin

N97.9 Female infertility, unspecified

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

2018/2019 ICD-10-CM Diagnosis Code N95.1

Menopausal and female climacteric states

Asymptomatic menopausal state

Symptomatic postprocedural ovarian failure

Symptomatic premature menopause

Diseases of the genitourinary system

Menopausal and other perimenopausal disorders

Flushing

Generalized hyperhidrosis

Asymptomatic menopausal state

Flushing

Asymptomatic menopausal state

Asymptomatic menopausal state

Asymptomatic menopausal state

Other general symptoms and signs

Dizziness and giddiness