N92.4 Excessive bleeding in the premenopausal period

Billable ICD-10-CM code, FY2026.

Applicable to

• Climacteric menorrhagia or metrorrhagia
• Menopausal menorrhagia or metrorrhagia
• Perimenopausal bleeding
• Perimenopausal menorrhagia or metrorrhagia
• Preclimacteric menorrhagia or metrorrhagia
• Premenopausal menorrhagia or metrorrhagia

Applies from N92 Excessive, frequent and irregular menstruation

Excludes1 (never code together)

• postmenopausal bleeding (N95.0)
• precocious puberty (menstruation) (E30.1)

MS-DRG index

Defines the logic of DRG(s) 742-743 in MDC 13.

Approximate ICD-9-CM (GEMs)

• 627.0 Premenopausal menorrhagia

Code annotations containing back-references to N92.4

Back-references to N92.4

• Type 1 Excludes: N95 Menopausal and other perimenopausal disorders ("excessive bleeding in the premenopausal period (N92.4)")

Diagnosis Index entries for N92.4

• Bleeding › excessive, associated with menopausal onset
• Bleeding › menopausal
• Bleeding › perimenopausal
• Bleeding › preclimacteric
• Bleeding › uterus, uterine NEC › climacteric
• Bleeding › uterus, uterine NEC › menopausal
• Bleeding › uterus, uterine NEC › preclimacteric or premenopausal
• Hemorrhage, hemorrhagic (concealed) › uterus, uterine (abnormal) › climacteric
• Hemorrhage, hemorrhagic (concealed) › uterus, uterine (abnormal) › preclimacteric or premenopausal
• Menopause, menopausal (asymptomatic) (state) › bleeding
• Menorrhagia (primary) › climacteric
• Menorrhagia (primary) › climacteric › menopausal
• Menorrhagia (primary) › menopausal
• Menorrhagia (primary) › perimenopausal
• Menorrhagia (primary) › preclimacteric or premenopausal
• Metrorrhagia › climacteric
• Metrorrhagia › menopausal
• Metrorrhagia › perimenopausal
• Metrorrhagia › preclimacteric or premenopausal
• Preclimacteric bleeding (menorrhagia)

Nearby codes

• N92 Excessive, frequent and irregular menstruation
• N92.0 Excessive and frequent menstruation with regular cycle
• N92.1 Excessive and frequent menstruation with irregular cycle
• N92.2 Excessive menstruation at puberty
• N92.3 Ovulation bleeding
• N92.4 Excessive bleeding in the premenopausal period (this code)
• N92.5 Other specified irregular menstruation
• N92.6 Irregular menstruation, unspecified