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Compare/E28.31 vs N95

E28.31 vs N95

E28.31 (Premature menopause) compared with N95 (Menopausal and other perimenopausal disorders), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. N95 carries an Excludes1 note covering E28.31: “menopausal and perimenopausal disorders due to artificial or premature menopause (E89.4-, E28.31-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. N95 carries an Excludes1 note covering E28.31: “premature menopause (E28.31-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

E28.31Premature menopauseN95Menopausal and other perimenopausal disorders
Billing statusNon-billable header

Report instead: E28.310, E28.319

Non-billable header

Report instead: N95.0, N95.1, N95.2, N95.8, N95.9

ClassificationE00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89)N00-N99 — Diseases of the Genitourinary System (N00-N99)
DefinitionPremature menopause is a non-billable ICD-10-CM category code (E28.31).Menopausal and other perimenopausal disorders is a non-billable ICD-10-CM category code (N95).
Includes
Menopausal and other perimenopausal disorders due to naturally occurring (age-related) menopause and perimenopause

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources