ICD-10 N94.3
Billable / SpecificPremenstrual tension syndrome
About ICD-10-CM N94.3
ICD-10-CM code N94.3 represents Premenstrual tension syndrome. This is a billable/specific code in the Genitourinary System chapter (block N94). The 2026 edition of ICD-10-CM N94.3 became effective on October 1, 2025.
Type 1 Excludes
Pure excludes, these codes can never be coded together with N94.3. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- Premenstrual dysphoric disorder (F32.81)
Coding Notes
Code Also
- associated menstrual migraine (G43.82-, G43.83-)
Medicare LCD Coverage for N94.3
Local Coverage Determinations (LCDs) from CMS MACs that list N94.3 as a covered diagnosis.
Showing top 10 of 38 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing N94.3.
1 Medicare
1 Aetna
CPT Codes Commonly Billed with N94.3
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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 N94.3 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 |
|---|---|---|
| N94.3 | 6254 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To N94.3
Other codes in section N80-N98 (Noninflammatory disorders of female genital tract).
ICD-10 N94.3, Billing FAQ
Is ICD-10 code N94.3 billable? +
Yes, N94.3 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What codes are Type 1 Excludes for N94.3? +
Type 1 Excludes (never code together with N94.3): Premenstrual dysphoric disorder (F32.81)
What ICD-9 codes does N94.3 map to? +
Per CMS GEMs, N94.3 maps to ICD-9 codes: 6254. 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 June 1, 2026.
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