2020 ICD-10-CM Diagnosis Code N95.1

Menopausal and female climacteric states

    2016 2017 2018 2019 2020 Billable/Specific Code
  • N95.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM N95.1 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of N95.1 - other international versions of ICD-10 N95.1 may differ.
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

      2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
    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

      2016 2017 2018 2019 2020 Billable/Specific Code
    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

      2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years)
    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
    2020 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

      2016 2017 2018 2019 2020 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)
    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 v37.0):
  • 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
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to N95.1:
  • Code First: R23.2
    , R61
    ICD-10-CM Diagnosis Code R23.2

    Flushing

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Excessive blushing
    Code First
    • , if applicable, menopausal and female climacteric states (N95.1)
    ICD-10-CM Diagnosis Code R61

    Generalized hyperhidrosis

      2016 2017 2018 2019 2020 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-)
  • Type 2 Excludes: Z78.0
    ICD-10-CM Diagnosis Code Z78.0

    Asymptomatic menopausal state

      2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
    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

      2016 2017 2018 2019 2020 Billable/Specific Code
    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

      2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
    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 2020 Billable/Specific Code Adult Dx (15-124 years) 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 2020 Billable/Specific Code Adult Dx (15-124 years) 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

      2016 2017 2018 2019 2020 Billable/Specific Code
    • menopausal N95.1
  • Vertigo R42
    ICD-10-CM Diagnosis Code R42

    Dizziness and giddiness

      2016 2017 2018 2019 2020 Billable/Specific Code
    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.