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

ICD-10 N92.6

Billable / Specific

Irregular menstruation, unspecified

N92
Block
2
Synonyms
0
LCDs
2
Payer Policies
0
Linked CPTs

About ICD-10-CM N92.6

ICD-10-CM code N92.6 represents Irregular menstruation, unspecified. This is a billable/specific code in the Genitourinary System chapter (block N92). The 2026 edition of ICD-10-CM N92.6 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under N92.6. Per CMS ICD-10-CM Tabular 2026.

  • Irregular bleeding NOS
  • Irregular periods NOS

Type 1 Excludes

Pure excludes, these codes can never be coded together with N92.6. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • irregular menstruation with:
  • lengthened intervals or scanty bleeding (N91.3-N91.5)
  • shortened intervals or excessive bleeding (N92.1)

Medicare LCD Coverage for N92.6

Local Coverage Determinations (LCDs) from CMS MACs that list N92.6 as a covered diagnosis.

No Medicare LCDs reference N92.6 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 N92.6.

2 policies

2 Aetna

Endometrial Ablation - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0091
Infertility
Policy ID: CPB-0327

CPT Codes Commonly Billed with N92.6

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

No procedure linkages on file for N92.6

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert N92.6 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
N92.6 6264 10000
N92.6 6269 10000

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

ICD-10 N92.6, Billing FAQ

Is ICD-10 code N92.6 billable? +

Yes, N92.6 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 N92.6? +

ICD-10 N92.6 includes: Irregular bleeding NOS; Irregular periods NOS.

What codes are Type 1 Excludes for N92.6? +

Type 1 Excludes (never code together with N92.6): irregular menstruation with:; lengthened intervals or scanty bleeding (N91.3-N91.5); shortened intervals or excessive bleeding (N92.1)

What ICD-9 codes does N92.6 map to? +

Per CMS GEMs, N92.6 maps to ICD-9 codes: 6264, 6269. 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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