N95.1

Menopausal and female climacteric states

Billable / specific

N95.1 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

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

Not coded here — never report together with this code.

asymptomatic menopausal state (Z78.0)
symptoms associated with artificial menopause (E89.41)
symptoms associated with premature menopause (E28.310)
excessive bleeding in the premenopausal period (N92.4) (from N95)
menopausal and perimenopausal disorders due to artificial or premature menopause (E89.4-, E28.31-) (from N95)
premature menopause (E28.31-) (from N95)

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

certain conditions originating in the perinatal period (P04-P96) (from N95)
certain infectious and parasitic diseases (A00-B99) (from N95)
complications of pregnancy, childbirth and the puerperium (O00-O9A) (from N95)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) (from N95)
endocrine, nutritional and metabolic diseases (E00-E88) (from N95)
injury, poisoning and certain other consequences of external causes (S00-T88) (from N95)
neoplasms (C00-D49) (from N95)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) (from N95)
postmenopausal osteoporosis (M81.0-) (from N95)
postmenopausal osteoporosis with current pathological fracture (M80.0-) (from N95)
postmenopausal urethritis (N34.2) (from N95)

Add a code to identify the following, if applicable.

Symptoms such as flushing, sleeplessness, headache, lack of concentration, associated with natural (age-related) menopause
Climacteric, symptoms
Flushing, menopausal
Hot flashes, menopausal
Menopause, menopausal, symptomatic
Sleeplessness, menopausal
State, climacteric, female, symptomatic
State, menopausal, symptomatic
Symptoms NEC, menopausal
Vertigo, menopausal