F32.81 vs N94.3
F32.81 (Premenstrual dysphoric disorder) compared with N94.3 (Premenstrual tension syndrome), 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. F32.81 carries an Excludes1 note covering N94.3: “premenstrual tension syndrome (N94.3)”
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. N94.3 carries an Excludes1 note covering F32.81: “Premenstrual dysphoric disorder (F32.81)”
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
| F32.81Premenstrual dysphoric disorder | N94.3Premenstrual tension syndrome | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) | N00-N99 — Diseases of the Genitourinary System (N00-N99) |
| Definition | Premenstrual dysphoric disorder is a billable ICD-10-CM diagnosis code (F32.81). | Premenstrual tension syndrome is a billable ICD-10-CM diagnosis code (N94.3). |
| Includes | single episode of agitated depression single episode of depressive reaction single episode of major depression single episode of psychogenic depression | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources