Z78.0 Asymptomatic menopausal state

Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.

Applicable to

• Menopausal state NOS
• Postmenopausal status NOS

Excludes2 (not included here)

• symptomatic menopausal state (N95.1)

Applies from Z78 Other specified health status

Excludes2 (not included here)

• asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
• postprocedural status (Z93-Z99)
• sex reassignment status (Z87.890)

MS-DRG index

Defines the logic of DRG(s) 951 in MDC 23.

Approximate ICD-9-CM (GEMs)

• V49.81 Asymptomatic postmenopausal status (age-related) (natural) (approximate)

Medicare Code Edits (MCE v43.1 (April 2026))

• Adult diagnoses (age 15 through 124): Age conflict edit. These diagnoses are clinically expected only in patients age 15 through 124.
• Unacceptable principal diagnosis: These codes describe a circumstance which influences care but is not a current illness or injury, or capture only an underlying condition, and are unacceptable as principal diagnosis.

Code annotations containing back-references to Z78.0

Back-references to Z78.0

• Type 1 Excludes: N95.1 Menopausal and female climacteric states ("asymptomatic menopausal state (Z78.0)")
• Use Additional: Z79.81 Long term (current) use of agents affecting estrogen receptors and estrogen levels ("postmenopausal status (Z78.0)")

Diagnosis Index entries for Z78.0

• Menopause, menopausal (asymptomatic) (state)
• State (of) › climacteric, female
• State (of) › menopausal

Nearby codes

• Z78 Other specified health status
• Z78.0 Asymptomatic menopausal state (this code)
• Z78.1 Physical restraint status
• Z78.9 Other specified health status