Find information on menorrhagia with regular cycles, including clinical documentation, medical coding, and healthcare guidance. Learn about heavy menstrual bleeding with regular periods, diagnosis codes, ICD-10 codes for menorrhagia, and treatment options. This resource helps healthcare professionals and patients understand regular heavy periods, prolonged menstrual bleeding, and accurate medical coding for menorrhagia with a normal cycle. Explore the causes, symptoms, and management of heavy menstrual bleeding with regular cycle length.
Also known as
Excessive regular menstruation
Heavy menstrual bleeding occurring at regular intervals.
Noninflammatory disorders of female genital tract
Encompasses various non-inflammatory conditions affecting the female reproductive system.
Noninflammatory disorders of the female genital tract
Broader category including non-inflammatory conditions of the female reproductive organs.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the cycle regular (24-35 days)?
Yes
Is there a documented cause?
No
Do NOT code as menorrhagia with regular cycle. Evaluate for other menstrual disorders (e.g., N91, N92.1-.6, N93. other). Consider other abnormal uterine bleeding diagnoses (e.g., N93).
When to use each related code
| Description |
|---|
| Heavy regular periods |
| Ovulatory dysfunctional uterine bleeding |
| Adenomyosis |
Coding menorrhagia without documenting the cause can lead to claim denials and inaccurate quality reporting. Use additional codes for underlying conditions.
Lack of clear clinical documentation supporting the diagnosis of menorrhagia with a regular cycle can cause audit issues. CDI specialists can query physicians for clarification.
Discrepancy between documented cycle regularity and menorrhagia diagnosis may lead to coding errors. Ensure accurate documentation for proper code assignment.
Patient presents with complaints consistent with menorrhagia characterized by heavy menstrual bleeding (HMB) occurring within a regular menstrual cycle. Cycle length is reported as normal (21-35 days), with regular intervals. The patient describes excessive menstrual flow lasting more than seven days and requiring frequent changes of sanitary protection (greater than every 2 hours). Symptoms impacting quality of life include soaking through clothes or bedding, passing large clots (larger than a quarter), and limitations in daily activities due to heavy bleeding. Differential diagnoses considered include uterine fibroids, adenomyosis, endometrial polyps, bleeding disorders, and hormonal imbalances. Assessment includes a detailed menstrual history, pelvic examination, and laboratory evaluation including complete blood count (CBC) to assess for anemia secondary to menorrhagia. Treatment plan may involve medical management with hormonal therapy such as combined oral contraceptives, progestin-only methods, or levonorgestrel intrauterine device (LNG-IUD). Non-hormonal options such as tranexamic acid or nonsteroidal anti-inflammatory drugs (NSAIDs) may be considered. Surgical options, including endometrial ablation or hysterectomy, may be discussed if medical management is unsuccessful or contraindicated. Patient education provided on menstrual hygiene, management of anemia, and potential side effects of medications. Follow-up scheduled to monitor treatment effectiveness and adjust management as needed.