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Z13.0
ICD-10-CM
Menorrhagia-Related Hemoglobin Screening

Find information on Menorrhagia-Related Hemoglobin Screening, including clinical documentation requirements, medical coding guidelines, and healthcare best practices. Learn about hemoglobin testing for menorrhagia, iron deficiency anemia diagnosis, and relevant ICD-10 codes. This resource provides guidance for physicians, nurses, and other healthcare professionals on proper documentation and coding for Menorrhagia-Related Hemoglobin Screening. Explore the connection between heavy menstrual bleeding and anemia, and understand the importance of accurate medical coding for optimal reimbursement and patient care.

Also known as

Heavy Menstrual Bleeding
Excessive Menstruation

Diagnosis Snapshot

Key Facts
  • Definition : Heavy or prolonged menstrual bleeding leading to low hemoglobin levels.
  • Clinical Signs : Excessive bleeding, fatigue, shortness of breath, pale skin.
  • Common Settings : Primary care, gynecology, hematology clinics.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z13.0 Coding
N92.0

Excessive and frequent menstruation

Heavy and prolonged menstrual bleeding (menorrhagia).

D50.0

Iron deficiency anemia secondary to blood loss (chronic)

Anemia from chronic blood loss, a possible consequence of menorrhagia.

R53.83

Other fatigue

Fatigue, a common symptom associated with anemia and menorrhagia.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the hemoglobin screening due to menorrhagia?

  • Yes

    Is there anemia?

  • No

    Is there another reason for screening?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Heavy menstrual bleeding causing low hemoglobin
Iron deficiency anemia due to heavy periods
Heavy periods, no anemia

Documentation Best Practices

Documentation Checklist
  • Document menorrhagia symptoms: cycle length, flow, clots.
  • Hemoglobin/hematocrit levels with units and date.
  • Rationale for hemoglobin screening due to menorrhagia.
  • Assessment of anemia signs/symptoms (fatigue, pallor).
  • ICD-10 code N92.0, Z87.891 documented for coding.

Coding and Audit Risks

Common Risks
  • Unspecified Menorrhagia

    Coding menorrhagia without specifying cause (e.g., fibroids) leads to inaccurate severity and hinders quality reporting. Use specific ICD-10 codes when available.

  • Hb Screening Miscoding

    Incorrect CPT codes for hemoglobin screening (e.g., using CBC code instead of standalone Hb) impacts reimbursement and data analysis. Review lab order documentation.

  • Lacking Linking Diagnosis

    Failure to link hemoglobin screening to menorrhagia diagnosis via medical necessity documentation may trigger denials. Ensure clear documentation supports the screening rationale.

Mitigation Tips

Best Practices
  • Document menorrhagia details: duration, flow, symptoms.
  • Code HMB accurately with specific ICD-10 diagnosis.
  • Order Hb tests for suspected anemia per guidelines.
  • Review Hb results, correlate with menorrhagia severity.
  • Implement CDI for accurate HMB diagnosis coding.

Clinical Decision Support

Checklist
  • Confirm menorrhagia diagnosis (ICD-10: N72.0)
  • Document Hgb/Hct level assessment
  • Evaluate for anemia signs/symptoms
  • Consider iron studies if Hgb low
  • Patient education on anemia risks

Reimbursement and Quality Metrics

Impact Summary
  • Menorrhagia hemoglobin screening reimbursement: CPT 85018, ICD-10 N92.0 impacts hospital DRG assignment and outlier payments.
  • Coding accuracy for menorrhagia diagnosis (N92.0) affects hemoglobin screening (85018) medical billing and claim denials.
  • Quality metrics: Hemoglobin screening rates in menorrhagia patients impact anemia management and hospital quality reporting.
  • Menorrhagia-related anemia impacts hospital readmission rates, affecting value-based care reimbursement and performance.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code D50.1 with N00.0
  • Link Hb test to menorrhagia
  • Document blood loss details
  • Query physician if unclear
  • Consider Z11.3 if screening

Documentation Templates

Patient presents with complaints consistent with menorrhagia, including prolonged menstrual bleeding, heavy menstrual flow, and passing clots.  She reports experiencing these symptoms for the past six months, impacting her quality of life.  Assessment includes detailed menstrual history, including cycle length, duration of bleeding, and quantity of flow, described by the patient as soaking through multiple pads or tampons per hour.  Due to the reported heavy menstrual bleeding and risk of iron deficiency anemia, hemoglobin screening was performed.  Differential diagnoses considered include dysfunctional uterine bleeding, uterine fibroids, adenomyosis, and coagulopathies.  Patient was counseled on the importance of hemoglobin monitoring in the context of menorrhagia to assess for anemia and its potential complications.  Plan includes further investigation if hemoglobin levels indicate anemia, and a discussion regarding management options for menorrhagia, including medical therapy, such as hormonal contraceptives or nonsteroidal anti-inflammatory drugs, or procedural interventions.  Patient education provided regarding the symptoms of anemia, such as fatigue, weakness, and shortness of breath, and the importance of follow-up care.  Appropriate ICD-10 and CPT codes will be applied for heavy menstrual bleeding, menorrhagia, hemoglobin screening, and anemia if diagnosed.