Post Menopausal ICD-10-CM Codes

What are Post Menopausal ICD-10-CM Codes?

Postmenopause is the stage in a woman's life that occurs after she has gone 12 consecutive months without menstruation, signaling the end of the premenopausal period. This transition is part of the broader spectrum of menopausal and perimenopausal disorders, which includes the phases before, during, and after menopause. In the ICD-10-CM system, several diagnosis codes are used to classify these conditions based on symptoms and underlying causes.

Below are commonly used ICD-10 codes for postmenopausal and perimenopausal disorders, including specific complications related to this naturally occurring, age-related hormonal shift:

• N95.0 – Postmenopausal bleeding: Used to document cases of excessive bleeding after menopause, which may indicate underlying pathologies requiring further investigation.
• N95.2 – Postmenopausal atrophic vaginitis: Refers to atrophic vaginitis, a common condition during postmenopause resulting from declining estrogen levels, causing dryness, irritation, and discomfort in the genitourinary system.
• N95.8 – Other specified menopausal and perimenopausal disorders: Used for other perimenopausal disorders not classified elsewhere, including hot flashes, night sweats, and mood swings.
• N95.9 – Unspecified menopausal and perimenopausal disorders: Applies when symptoms are present but not specifically diagnosed, covering unspecified menopausal symptoms or perimenopausal disorders due to natural aging or other factors.

Which Post Menopausal ICD-10-CM Codes are billable?

All of the above codes—including those related to postmenopausal bleeding, vaginal atrophy, and unspecified menopausal and perimenopausal disorders—are billable ICD-10-CM codes. These codes ensure accurate documentation and facilitate medical billing for services rendered during naturally occurring age-related menopause or related phases like perimenopause and premature menopause.

Clinical information

Postmenopause is considered the final phase of a woman’s reproductive life. It is naturally occurring and marked by the cessation of menstruation for at least 12 consecutive months. However, while it's a natural transition, menopausal and other perimenopausal changes can introduce various health challenges.

Common postmenopausal and perimenopausal complications include:

• Postmenopausal osteoporosis – Decreased estrogen levels may lead to weakened bones. If fractures occur, the condition may be classified under osteoporosis with the current pathological fracture using the appropriate ICD-10-CM code.
• Genitourinary syndrome – Conditions like postmenopausal urethritis or atrophic vaginitis often result from hormonal changes and can be captured under specific ICD codes.
• Mental health changes – Mood swings, anxiety, and depressive symptoms are common during the premenopausal period and beyond.
• Perimenopause excessive bleeding – Unpredictable cycles before menopause may result in excessive bleeding, often tied to perimenopausal disorders.

Women who have undergone artificial or premature menopause due to surgery, chemotherapy, or medical conditions may also experience disorders due to artificial or premature menopause, which should be coded accordingly.

Although there is no definitive treatment for postmenopause, proactive care can help manage its effects and prevent secondary complications. Regular checkups allow providers to detect and manage conditions related to menopausal and perimenopausal disorder transitions, including:

• Pelvic exams and Pap smears
• Osteoporosis screenings – especially for those at risk of postmenopausal osteoporosis with current pathological fractures
• Breast exams and mammograms
• Hormone level monitoring during and after the premenopausal period

These preventive services support early detection of age-related complications and provide a clearer view of a woman’s naturally occurring hormonal state or any asymptomatic menopausal state.

Synonyms include

• Postmenopausal bleeding
• Postmenopausal state
• Postmenopausal postcoital bleeding
• Perimenopausal atrophic vaginitis
• Atrophic vulvovaginitis