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N91.0

Billable

Primary amenorrhea

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

The absence of menstrual periods in a female who has never menstruated before, typically occurring when a girl reaches puberty without starting her period.

Coding Tips

  • Document the age of the patient and whether secondary sexual characteristics are present to support the diagnosis
  • Differentiate from secondary amenorrhea by confirming the patient has never had a menstrual period

Code Hierarchy

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