N92.4 — Excessive bleeding in the premenopausal period
Is N92.4 billable?
Yes — N92.4 is billable for FY2027. N92.4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. N92.4 may be submitted for encounters from October 1, 2026 through September 30, 2027.
N92.4 at a glance
| Code | N92.4 |
|---|---|
| Description | Excessive bleeding in the premenopausal period |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does N92.4 group to?
N92.4 sits in MDC 13 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 742Uterine and Adnexa Procedures for Non-Malignancy with CC/MCCsurgical
- 743Uterine and Adnexa Procedures for Non-Malignancy without CC/MCCsurgical
How is N92.4 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to N92.4. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Preclimacteric bleeding (menorrhagia)
- Bleeding › excessive, associated with menopausal onset
- Bleeding › menopausal
- Bleeding › perimenopausal
- Bleeding › preclimacteric
- Menopause, menopausal › bleeding (asymptomatic) (state)
- Menorrhagia › climacteric (primary)
- Menorrhagia › menopausal (primary)
- Menorrhagia › perimenopausal (primary)
- Menorrhagia › preclimacteric or premenopausal (primary)
- Metrorrhagia › climacteric
- Metrorrhagia › menopausal
Inclusion terms
Alternative wording in documentation that is classified to N92.4.
- Climacteric menorrhagia or metrorrhagia
- Menopausal menorrhagia or metrorrhagia
- Perimenopausal bleeding
- Perimenopausal menorrhagia or metrorrhagia
- Preclimacteric menorrhagia or metrorrhagia
- Premenopausal menorrhagia or metrorrhagia
Excludes1 — never code together — inherited from N92
The conditions below can never be reported together with N92.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 14
The conditions below are not part of N92.4, but a patient may have both at the same time. When documentation supports it, N92.4 and the excluded code may both be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
How long has N92.4 existed?
N92.4 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with N92.4?
ICD-10-CM declares these codes mutually exclusive with N92.4 — exactly one of each pair can be correct for a given encounter.