N92.4

Excessive bleeding in the premenopausal period

Billable / specific

N92.4 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Applicable to

  • Climacteric menorrhagia or metrorrhagia
  • Menopausal menorrhagia or metrorrhagia
  • Perimenopausal bleeding
  • Perimenopausal menorrhagia or metrorrhagia
  • Preclimacteric menorrhagia or metrorrhagia
  • Premenopausal menorrhagia or metrorrhagia

Excludes1

Not coded here — never report together with this code.

  • postmenopausal bleeding (N95.0) (from N92)
  • precocious puberty (menstruation) (E30.1) (from N92)

Excludes2

Not included here — may be reported together when both conditions exist.

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

Also known as

  • Climacteric menorrhagia or metrorrhagia
  • Menopausal menorrhagia or metrorrhagia
  • Perimenopausal bleeding
  • Perimenopausal menorrhagia or metrorrhagia
  • Preclimacteric menorrhagia or metrorrhagia
  • Premenopausal menorrhagia or metrorrhagia
  • Bleeding, excessive, associated with menopausal onset
  • Bleeding, menopausal
  • Bleeding, perimenopausal
  • Bleeding, preclimacteric
  • Bleeding, uterus, uterine NEC, climacteric
  • Bleeding, uterus, uterine NEC, menopausal
  • Bleeding, uterus, uterine NEC, preclimacteric or premenopausal
  • Hemorrhage, hemorrhagic, uterus, uterine, climacteric
  • Hemorrhage, hemorrhagic, uterus, uterine, preclimacteric or premenopausal
  • Menopause, menopausal, bleeding
  • Menorrhagia, climacteric
  • Menorrhagia, climacteric, menopausal
  • Menorrhagia, menopausal
  • Menorrhagia, perimenopausal
  • Menorrhagia, preclimacteric or premenopausal

Parent code

  • N92Excessive, frequent and irregular menstruationHeader

Related codes

  • N92.0Excessive and frequent menstruation with regular cycleBillable
  • N92.1Excessive and frequent menstruation with irregular cycleBillable
  • N92.2Excessive menstruation at pubertyBillable
  • N92.3Ovulation bleedingBillable
  • N92.5Other specified irregular menstruationBillable
  • N92.6Irregular menstruation, unspecifiedBillable

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