ICD-10 N95
Non-Billable HeaderMenopausal and other perimenopausal disorders
About ICD-10-CM N95
ICD-10-CM code N95 represents Menopausal and other perimenopausal disorders. This is a non-billable header code in the Genitourinary System chapter (block N95). The 2026 edition of ICD-10-CM N95 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under N95. Per CMS ICD-10-CM Tabular 2026.
- Menopausal and other perimenopausal disorders due to naturally occurring (age-related) menopause and perimenopause
Type 1 Excludes
Pure excludes, these codes can never be coded together with N95. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- excessive bleeding in the premenopausal period (N92.4)
- menopausal and perimenopausal disorders due to artificial or premature menopause (E89.4-, E28.31-)
- premature menopause (E28.31-)
Type 2 Excludes
Not included here, the excluded code is not part of N95, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- postmenopausal osteoporosis (M81.0-)
- postmenopausal osteoporosis with current pathological fracture (M80.0-)
- postmenopausal urethritis (N34.2)
Medicare LCD Coverage for N95
Local Coverage Determinations (LCDs) from CMS MACs that list N95 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 N95.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but N95 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with N95
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.
Codes Adjacent To N95
Other codes in section N80-N98 (Noninflammatory disorders of female genital tract).
ICD-10 N95, Billing FAQ
Is ICD-10 code N95 billable? +
No, N95 is a non-billable header code. Use a more specific child code from block N95 when submitting claims.
What other names or terms map to N95? +
ICD-10 N95 includes: Menopausal and other perimenopausal disorders due to naturally occurring (age-related) menopause and perimenopause.
What codes are Type 1 Excludes for N95? +
Type 1 Excludes (never code together with N95): excessive bleeding in the premenopausal period (N92.4); menopausal and perimenopausal disorders due to artificial or premature menopause (E89.4-, E28.31-); premature menopause (E28.31-)
What codes are Type 2 Excludes for N95? +
Type 2 Excludes (may be coded together when both conditions exist): postmenopausal osteoporosis (M81.0-); postmenopausal osteoporosis with current pathological fracture (M80.0-); postmenopausal urethritis (N34.2)
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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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