InnovaRx Innova Health Strategies

N95.1

Menopausal and female climacteric states

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 17 never code together
N95code
Excludes1
  • excessive bleeding in the premenopausal period (N92.4)N92.4
  • menopausal and perimenopausal disorders due to artificial or premature menopause (E89.4-, E28.31-)E89.4-E28.31-
  • premature menopause (E28.31-)E28.31-
Excludes2
  • postmenopausal osteoporosis (M81.0-)M81.0-
  • postmenopausal osteoporosis with current pathological fracture (M80.0-)M80.0-
  • postmenopausal urethritis (N34.2)N34.2
N95.1code
Excludes1
  • asymptomatic menopausal state (Z78.0)Z78.0Z78.0
  • symptoms associated with artificial menopause (E89.41)E89.41E89.41
  • symptoms associated with premature menopause (E28.310)E28.310E28.310
N00-N99chapter
Excludes2
  • certain conditions originating in the perinatal period (P04-P96)P04-P96
  • certain infectious and parasitic diseases (A00-B99)A00-B99
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
  • neoplasms (C00-D49)C00-D49
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 3
N95code
Inclusion terms
  • Menopausal and other perimenopausal disorders due to naturally occurring (age-related) menopause and perimenopause
N95.1code
Inclusion terms
  • Symptoms such as flushing, sleeplessness, headache, lack of concentration, associated with natural (age-related) menopause
Use additional code
  • code for associated symptoms
Index entries leading here 8
  • State (of)
  • Climacteric (female) — see also Menopause
    • symptoms (female) N95.1
  • Flushing R23.2
  • Hot flashes
  • Vertigo R42
  • Sleeplessness — see Insomnia
  • Symptoms NEC R68.89
  • Menopause, menopausal (asymptomatic) (state) Z78.0
Alongside this code 4 same parent — N95
Medications 3

MED-RT files conditions by MeSH, which carves the world differently from ICD-10. These are name matches on this code's description, offered as candidates — not as an assertion that they are this code.

Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

Maps to no condition category in any loaded model.

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Parent
N95
Block
N80-N98
Siblings
4

Present FY2024–FY2027.