Is ICD-10-CM code N95 billable?

No, N95 (Menopausal and other perimenopausal disorders) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code N95 belong to?

N95 belongs to Chapter 14 of the ICD-10-CM tabular list: N00–N99 (Diseases of the Genitourinary System).

N95Not billable, use a more specific code below

Menopausal and other perimenopausal disorders

In Noninflammatory disorders of female genital tract (N80-N98), chapter 14: Diseases of the Genitourinary System

5 billable codes under N95: none are a CC or MCC; none map to an HCC.

Instructional notes

Includes: conditions that are coded here

Menopausal and other perimenopausal disorders due to naturally occurring (age-related) menopause and perimenopause

Excludes1: not coded here, use a different code

excessive bleeding in the premenopausal period (N92.4)
menopausal and perimenopausal disorders due to artificial or premature menopause (E89.4-, E28.31-)
premature menopause (E28.31-)

Excludes2: not included here, code separately if applicable

postmenopausal osteoporosis (M81.0-)
postmenopausal osteoporosis with current pathological fracture (M80.0-)
postmenopausal urethritis (N34.2)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers chronic kidney disease staging, CKD in kidney transplant patients, and sequencing CKD with related conditions such as diabetes and hypertension.

Chronic kidney disease (page 62)

Read Section I.C.14 (page 62)

All codes under N95

N95 can't be used on a claim. Pick a billable code below; grey headings group them.

N95 MS-DRGs

As the principal diagnosis, all 5 billable codes under N95 group to MS-DRG 742, 743, 760, or 761 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Menopause

Menopause is the time in your life when you stop having your period and can no longer get pregnant. You have reached menopause when you have not had a period for 12 months.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.