N92 vs N95.0
N92 and N95.0 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.
The official note, declared on N92
postmenopausal bleeding (N95.0)
N92
Excessive, frequent and irregular menstruation
Not billable
- Chapter 14
- Diseases of the genitourinary system
- Section
- N80-N98
N95.0
Postmenopausal bleeding
Billable
- Chapter 14
- Diseases of the genitourinary system
- Section
- N80-N98
Indexed under
- Postclimacteric bleeding
- Bleeding › postclimacteric
- Bleeding › postmenopausal
- Hemorrhage, hemorrhagic › postmenopausal (concealed)
- Menorrhagia › postclimacteric (primary)
Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027