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N95.1

Menopausal and female climacteric states

Diseases of the genitourinary system Billable
Quick Reference
Symptoms related to menopause (hot flashes, night sweats, mood changes)

Clinical Information

When to Use This Code

Symptoms related to menopause (hot flashes, night sweats, mood changes)

Common Clinical Scenarios

  • Menopausal hot flashes
  • Hormone replacement therapy prescribing
  • Perimenopause symptoms
  • Menopausal management

Documentation Requirements

  • Document symptoms: hot flashes, night sweats, vaginal dryness, mood changes
  • Record menstrual history (amenorrhea duration)
  • Note FSH level if obtained
  • Specify treatments (HRT, SSRIs, lifestyle)

Coding Guidelines

Inclusion Terms

These terms are included in this code:

MenopauseClimacteric symptomsHot flashesPerimenopausal symptoms

Exclusion Terms

Do NOT use this code for:

  • Premature menopause (E28.31)
  • Postmenopausal bleeding (N95.0)

Coding Notes

Average age 51 years
HRT requires risk/benefit discussion
Screen for osteoporosis and cardiovascular risk

Related ICD-10 Codes

Consider these related codes based on patient presentation:

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Code Details

Code
N95.1
Category
Diseases of the genitourinary system
Billable Status
Billable

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