ICD-10 N95.1
Billable / SpecificMenopausal and female climacteric states
About ICD-10-CM N95.1
ICD-10-CM code N95.1 represents Menopausal and female climacteric states. This is a billable/specific code in the Genitourinary System chapter (block N95). The 2026 edition of ICD-10-CM N95.1 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under N95.1. Per CMS ICD-10-CM Tabular 2026.
- Symptoms such as flushing, sleeplessness, headache, lack of concentration, associated with natural (age-related) menopause
Type 1 Excludes
Pure excludes, these codes can never be coded together with N95.1. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- asymptomatic menopausal state (Z78.0)
- symptoms associated with artificial menopause (E89.41)
- symptoms associated with premature menopause (E28.310)
Use Additional Code
When coding N95.1, also report these additional codes when applicable.
- code for associated symptoms
Medicare LCD Coverage for N95.1
Local Coverage Determinations (LCDs) from CMS MACs that list N95.1 as a covered diagnosis.
Showing top 10 of 14 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing N95.1.
1 Cigna
2 Medicare
1 Aetna
CPT Codes Commonly Billed with N95.1
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 N95.1 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 |
|---|---|---|
| N95.1 | 6272 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To N95.1
Other codes in section N80-N98 (Noninflammatory disorders of female genital tract).
ICD-10 N95.1, Billing FAQ
Is ICD-10 code N95.1 billable? +
Yes, N95.1 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 N95.1? +
ICD-10 N95.1 includes: Symptoms such as flushing, sleeplessness, headache, lack of concentration, associated with natural (age-related) menopause.
What codes are Type 1 Excludes for N95.1? +
Type 1 Excludes (never code together with N95.1): asymptomatic menopausal state (Z78.0); symptoms associated with artificial menopause (E89.41); symptoms associated with premature menopause (E28.310)
What ICD-9 codes does N95.1 map to? +
Per CMS GEMs, N95.1 maps to ICD-9 codes: 6272. 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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