FY2027
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Excludes1 pair

N92- vs N95.0

N92 and N95.0 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.

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
  • Menorrhagia › postclimacteric

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