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

ICD-10 N95.9

Billable / Specific

Unspecified menopausal and perimenopausal disorder

N95
Block
0
Synonyms
26
LCDs
5
Payer Policies
0
Linked CPTs

About ICD-10-CM N95.9

ICD-10-CM code N95.9 represents Unspecified menopausal and perimenopausal disorder. This is a billable/specific code in the Genitourinary System chapter (block N95). The 2026 edition of ICD-10-CM N95.9 became effective on October 1, 2025.

Medicare LCD Coverage for N95.9

Local Coverage Determinations (LCDs) from CMS MACs that list N95.9 as a covered diagnosis.

26 LCDs

Showing top 10 of 26 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Bone Mass Measurement
Article ID: 57132, Effective: 2024-01-04 00:00:00, 428 covered, 0 non-covered
CPT 0556T →
CMS LCD: Billing and Coding: Bone Mass Measurement
Article ID: 57132, Effective: 2024-01-04 00:00:00, 428 covered, 0 non-covered
CPT 77078 →
CMS LCD: Billing and Coding: Bone Mass Measurement
Article ID: 57132, Effective: 2024-01-04 00:00:00, 428 covered, 0 non-covered
CPT 77085 →
CMS LCD: Billing and Coding: Bone Mass Measurement
Article ID: 57132, Effective: 2024-01-04 00:00:00, 428 covered, 0 non-covered
CPT 0558T →
CMS LCD: Billing and Coding: Bone Mass Measurement
Article ID: 57132, Effective: 2024-01-04 00:00:00, 428 covered, 0 non-covered
CPT 0555T →
CMS LCD: Billing and Coding: Bone Mass Measurement
Article ID: 57132, Effective: 2024-01-04 00:00:00, 428 covered, 0 non-covered
CPT G0130 →
CMS LCD: Billing and Coding: Bone Mass Measurement
Article ID: 57132, Effective: 2024-01-04 00:00:00, 428 covered, 0 non-covered
CPT 78350 →
CMS LCD: Billing and Coding: Bone Mass Measurement
Article ID: 57132, Effective: 2024-01-04 00:00:00, 428 covered, 0 non-covered
CPT 77081 →
CMS LCD: Billing and Coding: Bone Mass Measurement
Article ID: 57132, Effective: 2024-01-04 00:00:00, 428 covered, 0 non-covered
CPT 76977 →
CMS LCD: Billing and Coding: Bone Mass Measurement
Article ID: 57132, Effective: 2024-01-04 00:00:00, 428 covered, 0 non-covered
CPT 0554T →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing N95.9.

5 policies

1 Cigna

Transvaginal Ultrasound, Non-Obstetrical - (0398)
Policy ID: MM_0398

2 Medicare

Billing and Coding: Bone Mass Measurement
Policy ID: ART-57132
Billing and Coding: Bone Mass Measurement
Policy ID: ART-59040

2 Aetna

Fibroid Treatment
Policy ID: CPB-0304
Infertility
Policy ID: CPB-0327

CPT Codes Commonly Billed with N95.9

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

No procedure linkages on file for N95.9

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 N95.9 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
N95.9 6279 10000

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

ICD-10 N95.9, Billing FAQ

Is ICD-10 code N95.9 billable? +

Yes, N95.9 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does N95.9 map to? +

Per CMS GEMs, N95.9 maps to ICD-9 codes: 6279. 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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