E28.310 vs N95.1
E28.310 (Symptomatic premature menopause) compared with N95.1 (Menopausal and female climacteric states), 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. N95.1 carries an Excludes1 note covering E28.310: “symptoms associated with premature menopause (E28.310)”
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. N95.1 carries an Excludes1 note covering E28.310: “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. N95.1 carries an Excludes1 note covering E28.310: “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
| E28.310Symptomatic premature menopause | N95.1Menopausal and female climacteric states | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | E00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89) | N00-N99 — Diseases of the Genitourinary System (N00-N99) |
| Definition | Symptomatic premature menopause is a billable ICD-10-CM diagnosis code (E28.310). | Menopausal and female climacteric states is a billable ICD-10-CM diagnosis code (N95.1). |
| Includes | Symptoms such as flushing, sleeplessness, headache, lack of concentration, associated with premature menopause | Symptoms such as flushing, sleeplessness, headache, lack of concentration, associated with natural (age-related) menopause |
| Use additional code | — | code for associated symptoms |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources