What is the ICD-10 code for primary dysmenorrhea?

The ICD-10 code for primary dysmenorrhea is N94.4, used when menstrual cramps occur without pelvic pathology.

How is secondary dysmenorrhea coded?

Secondary dysmenorrhea is coded as N94.5, indicating menstrual pain due to conditions like endometriosis.

ICD-10 Coding for Dysmenorrhea(N94.4, N94.5, N94.6)

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Comprehensive guide on ICD-10 coding for dysmenorrhea, including primary and secondary types, documentation requirements, and common coding pitfalls.

Also known as:

Menstrual CrampsPainful Periodspainful menstruation

Related ICD-10 Code Ranges

Complete code families applicable to Dysmenorrhea

N00-N99Primary Range

Diseases of the genitourinary system

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
N94.4	Primary dysmenorrhea	Use when dysmenorrhea is confirmed without any pelvic pathology.	Normal pelvic exam No imaging abnormalities
N94.5	Secondary dysmenorrhea	Use when dysmenorrhea is associated with conditions like endometriosis.	Imaging or lab confirmation of pelvic pathology
N94.6	Unspecified dysmenorrhea	Use when documentation does not specify primary or secondary dysmenorrhea.	Insufficient documentation to specify primary or secondary

Primary ICD-10-CM Codes

Primary dysmenorrhea

N94.4Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Secondary dysmenorrheaN94.5

Primary dysmenorrheaN94.4

Documentation & Coding Risks

Avoid these common issues when documenting Dysmenorrhea.

Vague documentation of menstrual pain

Impact

Clinical: May lead to inappropriate treatment, Regulatory: Increases risk of audit, Financial: Potential for denied claims

Mitigation

Train providers on specific documentation requirements, Use structured templates

Using N94.6 when specific details are available

Impact

Reimbursement: May lead to lower reimbursement rates., Compliance: Increases risk of audit due to lack of specificity., Data Quality: Reduces accuracy of clinical data.

Mitigation

Ensure documentation specifies primary or secondary dysmenorrhea.

Unspecified coding

Impact

Using N94.6 when more specific codes are applicable.

Mitigation

Encourage detailed documentation to support specific coding.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with N94.4.

Primary Code

N94.4

Primary dysmenorrhea

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ICD-10 codes3

Coding risks3

FAQs2

ICD-10 Coding for Dysmenorrhea(N94.4, N94.5, N94.6)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for primary dysmenorrhea?

How is secondary dysmenorrhea coded?

Related condition guides