ICD-10 Codes for Excessive, Frequent and Irregular Menstruation or Abnormal Uterine Bleeding
Table of Contents
Abnormal uterine bleeding (AUB) is a broad term that describes irregularities in the menstrual cycle involving frequency, regularity, duration, and volume of flow outside of pregnancy. Up to one-third of women will experience abnormal uterine bleeding in their life, with irregularities most commonly occurring at menarche and perimenopause. A normal menstrual cycle has a frequency of 24 to 38 days and lasts 2 to 7, with 5 to 80 milliliters of blood loss. Variations in any of these 4 parameters constitute abnormal uterine bleeding. This activity reviews abnormal uterine bleeding diagnosis and treatment and explains the importance of an interprofessional approach to evaluating and treating abnormal uterine bleeding.
Diagnosis and Treatment
Laboratory testing can include but is not limited to a urine pregnancy test, complete blood count, ferritin, coagulation panel, thyroid function tests, gonadotropins, and prolactin.
Imaging studies can include transvaginal ultrasound, MRI, and hysteroscopy. Transvaginal ultrasound does not expose the patient to radiation and can show uterus size and shape, leiomyomas (fibroids), adenomyosis, endometrial thickness, and ovarian anomalies. It is an important tool and should be obtained early in the investigation of abnormal uterine bleeding. MRI provides detailed images that can prove useful in surgical planning, but it is costly and not the first-line choice for imaging in patients with AUB. Hysteroscopy and sonohysterography (transvaginal ultrasound with intrauterine contrast) are helpful in situations where endometrial polyps are noted, images from transvaginal ultrasound are inconclusive, or submucosal leiomyomas are seen. Hysteroscopy and sonohysterography are more invasive but can often be performed in office settings. (PARAGRAPH) Treatment of abnormal uterine bleeding depends on multiple factors, such as the etiology of the AUB, fertility desire, the clinical stability of the patient, and other medical comorbidities. Treatment should be individualized based on these factors. In general, medical options are preferred as initial treatment for AUB.
ICD-10 Codes for Abnormal Uterine Bleeding
|O72.3||Excessive and frequent menstruation|
|N92.0||Excessive and frequent menstruation (not due to organic pathology)|
|N92.1||Excessive and frequent menstruation (due to organic pathology)|
|N92.4||Excessive bleeding in the premenopausal period|
|N92.5||Other specified irregular menstruation|
|N92.6||Irregular menstruation, unspecified|
|N93.0||Abnormal uterine and vaginal bleeding, unspecified|
|N93.1||Abnormal uterine and vaginal bleeding, menorrhagia|
|N93.8||Other specified abnormal uterine and vaginal bleeding|
|N93.9||Unspecified abnormal uterine and vaginal bleeding|
|N95.1||Menopausal and female climacteric states|
|N95.2||Postmenopausal atrophic vaginitis|
|N95.8||Other specified menopausal and perimenopausal disorders|
|N95.9||Unspecified menopausal and perimenopausal disorder|
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