ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 N92.4

Billable / Specific

Excessive bleeding in the premenopausal period

N92
Block
6
Synonyms
0
LCDs
3
Payer Policies
1
Linked CPTs

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.

No Medicare LCDs reference N92.4 as covered

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 policies

3 Aetna

Infertility
Policy ID: CPB-0327
Intravenous Iron Therapy
Policy ID: CPB-0575
Endometrial Cancer Screening, Diagnosis, and Prognosis
Policy ID: CPB-0769

CPT Codes Commonly Billed with N92.4

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

1 linkages
  • 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-10ICD-9Mapping Flags
N92.4 6270 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

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 May 31, 2026.

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