ICD-10 N92.4
Billable / SpecificExcessive bleeding in the premenopausal period
About ICD-10-CM N92.4
ICD-10-CM code N92.4 represents Excessive bleeding in the premenopausal period. This is a billable/specific code in the Genitourinary System chapter (block N92). The 2026 edition of ICD-10-CM N92.4 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under N92.4. Per CMS ICD-10-CM Tabular 2026.
- Climacteric menorrhagia or metrorrhagia
- Menopausal menorrhagia or metrorrhagia
- Perimenopausal bleeding
- Perimenopausal menorrhagia or metrorrhagia
- Preclimacteric menorrhagia or metrorrhagia
- Premenopausal menorrhagia or metrorrhagia
Medicare LCD Coverage for N92.4
Local Coverage Determinations (LCDs) from CMS MACs that list N92.4 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing N92.4.
3 Aetna
CPT Codes Commonly Billed with N92.4
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 58558 Hysteroscopy with biopsy — menorrhagia, irregular menses, excessive menstruation, endometrial polyp, endometrial hyperplasia, uterine fibroid, endometriosis of uterus, abnormal uterine bleeding OB/GYN
Convert N92.4 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| N92.4 | 6270 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To N92.4
Other codes in section N80-N98 (Noninflammatory disorders of female genital tract).
ICD-10 N92.4, Billing FAQ
Is ICD-10 code N92.4 billable? +
Yes, N92.4 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to N92.4? +
ICD-10 N92.4 includes: Climacteric menorrhagia or metrorrhagia; Menopausal menorrhagia or metrorrhagia; Perimenopausal bleeding, and 3 more clinical synonyms.
What CPT codes are commonly billed with N92.4? +
Procedures frequently paired with N92.4 include: 58558.
What ICD-9 codes does N92.4 map to? +
Per CMS GEMs, N92.4 maps to ICD-9 codes: 6270. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
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