Menopause is a natural biological process that marks the end of a woman's reproductive years. The medical coding process for menopause involves selecting the most accurate ICD-10 diagnosis code to represent the condition in the patient's medical record.
Some key things to know about coding for menopause:
- The most common ICD-10 code used is N95.1 - Menopausal and female climacteric states. This covers symptoms such as hot flashes, sleep disturbances, mood changes, genitourinary atresia, and vaginal dryness associated with menopause.
- Code E28.310 - Sympathetic climacteric state is used for severe hot flashes that disrupt daily living.
- E28.39 - Other primary ovarian failure covers premature ovarian failure occurring before the age of 40.
- For postmenopausal atrophic vaginitis, code N95.2 should be used along with the appropriate code for any infection present.
- Bone loss conditions like osteoporosis are coded separately from the underlying menopausal state.
Key steps in coding for menopause:
- Confirm menopause diagnosis based on cessation of menses for 12 months or follicle stimulating hormone (FSH) lab testing
- Identify all associated signs and symptoms
- Assign the most accurate ICD-10 code(s)
- Sequence codes with the menopausal state code first, followed by other related conditions
- Include appropriate CPT codes for any related labs, exams, or procedures
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- Common ICD-10 diagnosis codes for menopause:
- N95.1 - Menopausal and female climacteric states
- E28.310 - Sympathetic climacteric state
- E28.39 - Other primary ovarian failure
- Key coding steps:
- Confirm diagnosis
- Identify all symptoms
- Assign accurate ICD-10 code(s)
- Sequence codes correctly
- Include related CPT codes
- Bioidentical hormone therapy can effectively treat menopause symptoms
- Optimal Hormone Health Center provides customized menopause treatment plans
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