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ICD-10-CM Codes
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N00-N99
Diseases of the genitourinary system
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N80-N98
Noninflammatory disorders of female genital tract
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N95-
Menopausal and other perimenopausal disorders
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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 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 AdditionalUse 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 ExcludesType 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
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)
- symptoms associated with artificial menopause (
ICD-10-CM Diagnosis Code E89.41
Symptomatic postprocedural ovarian failure
2016 2017 2018 2019 Billable/Specific Code Female Dx
Applicable To- Symptoms such as flushing, sleeplessness, headache, lack of concentration, associated with postprocedural menopause
- symptoms associated with premature menopause (
ICD-10-CM Diagnosis Code E28.310
Symptomatic premature menopause
2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years) Female Dx
Applicable To- Symptoms such as flushing, sleeplessness, headache, lack of concentration, associated with premature menopause
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:
- 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:
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Code First: R23.2, R61
ICD-10-CM Diagnosis Code R23.2
Flushing
2016 2017 2018 2019 Billable/Specific Code
Code First- , if applicable, menopausal and female climacteric states (N95.1)
ICD-10-CM Diagnosis Code R61
Generalized hyperhidrosis
2016 2017 2018 2019 Billable/Specific Code
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-)
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Type 2 Excludes: 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)
- Climacteric (female) - see also Menopause
- Flushing R23.2
ICD-10-CM Diagnosis Code R23.2
Flushing
2016 2017 2018 2019 Billable/Specific Code
Code First- , if applicable, menopausal and female climacteric states (N95.1)
- Hot flashes
- 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)
- Sleeplessness - see Insomnia
- 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)
- 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)
- Symptoms NEC R68.89
ICD-10-CM Diagnosis Code R68.89
Other general symptoms and signs
2016 2017 2018 2019 Billable/Specific Code
- Vertigo R42
ICD-10-CM Diagnosis Code R42
Dizziness and giddiness
2016 2017 2018 2019 Billable/Specific Code
Applicable To- Light-headedness
- Vertigo NOS
Type 1 Excludes- vertiginous syndromes (H81.-)
- vertigo from infrasound (T75.23)
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
N94.89 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
N97.0 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.
