N95.0 — Postmenopausal bleeding
N95.0 is a billable, specific ICD-10-CM code for postmenopausal bleeding. It is valid for submission on a claim.
Other codes that can never be billed with N95.0
These codes carry an Excludes1 note pointing at N95.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading N95.0 alone.
- N92Excessive, frequent and irregular menstruation
Risk adjustment
N95.0 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
N95.0 is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53043Billing and Coding: Endometrial Hyperplasia Treatment
- A55061Billing and Coding: IUD (Hormone-Eluting) for Endometrial Hyperplasia - CPT 58999
- A55951Billing and Coding: Endometrial Hyperplasia Treatment with Intrauterine Device (Hormone-Eluting)
- A58649Billing and Coding: IUD (Hormone-Eluting) for Endometrial Hyperplasia - CPT 58999
How N95.0 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to N95.0.
- Postclimacteric bleeding
- Bleeding›postclimacteric
- Bleeding›postmenopausal
- Hemorrhage, hemorrhagic›postmenopausal
- Menorrhagia›postclimacteric
- Menorrhagia›postmenopausal
- Hemorrhage, hemorrhagic›uterus, uterine›postmenopausal
Related codes at this level
Codes that share N95. If N95.0 is not quite right, the correct code is usually one of these.
Questions about N95.0
- Is N95.0 a billable ICD-10-CM code?
- Yes. N95.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does N95.0 sit in the tabular list?
- Diseases of the genitourinary system (N00-N99), in the block Noninflammatory disorders of female genital tract (N80-N98).