ICD Code N92.0

ICD code N92.0 is used to classify a medical condition characterized by excessive and frequent menstrual bleeding that occurs at regular intervals. This code is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to document and categorize diagnoses for billing and statistical purposes. The condition described by this code involves a regular menstrual cycle, but with heavier and more frequent bleeding than what is typically considered normal.

1. Regular Menstrual Cycle: The patient experiences a menstrual cycle that occurs at consistent intervals, typically ranging from 21 to 35 days.

2. Excessive Menstrual Bleeding: The patient reports a significant increase in the volume of menstrual bleeding, which may require frequent changing of sanitary products or result in the passage of large blood clots.

3. Frequent Menstruation: The patient experiences menstrual bleeding more often than the typical cycle, but the intervals between cycles remain regular.

4. Absence of Underlying Pathological Conditions: There is no evidence of underlying conditions such as uterine fibroids, polyps, or other gynecological disorders that could explain the excessive bleeding.

5. Normal Hormonal Levels: Hormonal evaluations indicate normal levels, ruling out hormonal imbalances as a cause for the excessive and frequent menstruation.

6. Negative Pregnancy Test: The patient is not pregnant, as confirmed by a negative pregnancy test, ensuring that the symptoms are not related to pregnancy complications.

7. No Use of Anticoagulant Medication: The patient is not taking medications that could contribute to increased bleeding, such as anticoagulants or blood thinners.

8. Patient History and Physical Examination: A thorough patient history and physical examination do not reveal any other potential causes for the symptoms, supporting the diagnosis of excessive and frequent menstruation with a regular cycle.

For the ICD code N92.0, which pertains to excessive and frequent menstruation with a regular cycle, the relevant CPT codes that may be applicable for treatment and management include:

1. CPT 58100 - Endometrial biopsy, with or without cervical dilation, any method (separate procedure).

2. CPT 58300 - Insertion of intrauterine device (IUD).

3. CPT 58558 - Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D&C.

4. CPT 58561 - Hysteroscopy, surgical; with removal of leiomyomata.

5. CPT 58661 - Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy).

6. CPT 58940 - Ovarian cystectomy, unilateral or bilateral.

7. CPT 76830 - Transvaginal ultrasound.

These CPT codes are examples of procedures that might be considered for patients diagnosed with the condition associated with ICD code N92.0. It is important for healthcare providers to select the appropriate CPT code based on the specific clinical scenario and the services provided.

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