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N95.1

Billable

Menopausal and female climacteric states

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

What This Code Means

Symptoms and conditions experienced during menopause and the transition period around it, including hot flashes and mood changes.

Coding Tips

  • •This code encompasses the entire menopausal transition; document specific symptoms for clarity
  • •Distinguish between natural menopause and induced menopause (surgical or chemical) when applicable

Excludes 1 — Do NOT code together

  • asymptomatic menopausal state (Z78.0)
  • symptoms associated with artificial menopause (E89.41)
  • symptoms associated with premature menopause (E28.310)

Use Additional Code

  • code for associated symptoms

Code Hierarchy

└N95Menopausal and other perimenopausal disorders└N95.1Menopausal and female climacteric states
└N95.1Menopausal and female climacteric states

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