{"code":"N92.4","type":"code","title":"Excessive bleeding in the premenopausal period","codeAlso":[],"includes":[],"modern_v":"official26","codeFirst":[],"excludes1":["postmenopausal bleeding (N95.0)","precocious puberty (menstruation) (E30.1)"],"excludes2":[],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"sibling_codes":["N92","N92.0","N92.1","N92.2","N92.3","N92.5","N92.6"],"inclusionTerms":["Climacteric menorrhagia or metrorrhagia","Menopausal menorrhagia or metrorrhagia","Perimenopausal bleeding","Perimenopausal menorrhagia or metrorrhagia","Preclimacteric menorrhagia or metrorrhagia","Premenopausal menorrhagia or metrorrhagia"],"sibling_titles":{"code":"N92.6","title":"Irregular menstruation, unspecified","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Excessive bleeding in the premenopausal period is a billable ICD-10-CM diagnosis code (N92.4). Inclusion terms: Climacteric menorrhagia or metrorrhagia; Menopausal menorrhagia or metrorrhagia; Perimenopausal bleeding; Perimenopausal menorrhagia or metrorrhagia; Preclimacteric menorrhagia or metrorrhagia; Premenopausal menorrhagia or metrorrhagia. Excludes1 (not coded here): postmenopausal bleeding (N95.0); precocious puberty (menstruation) (E30.1).","officialDefinition":"Excessive bleeding in the premenopausal period is a billable ICD-10-CM diagnosis code (N92.4). Inclusion terms: Climacteric menorrhagia or metrorrhagia; Menopausal menorrhagia or metrorrhagia; Perimenopausal bleeding; Perimenopausal menorrhagia or metrorrhagia; Preclimacteric menorrhagia or metrorrhagia; Premenopausal menorrhagia or metrorrhagia. Excludes1 (not coded here): postmenopausal bleeding (N95.0); precocious puberty (menstruation) (E30.1).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}