Z78.0 — Asymptomatic menopausal state
Z78.0 is a billable, specific ICD-10-CM code for asymptomatic menopausal state. It is valid for submission on a claim.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- symptomatic menopausal state (N95.1)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Menopausal state NOS
- Postmenopausal status NOS
Other codes that can never be billed with Z78.0
These codes carry an Excludes1 note pointing at Z78.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Z78.0 alone.
- N95.1Menopausal and female climacteric states
Risk adjustment
Z78.0 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
Z78.0 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.
- A52421Billing and Coding: Ibandronate Sodium
- A57132Billing and Coding: Bone Mass Measurement
- A57132Billing and Coding: Bone Mass Measurement
- A59040Billing and Coding: Bone Mass Measurement
How Z78.0 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 Z78.0.
- Menopause, menopausal(asymptomatic) (state)
- State›climacteric, female
- State›menopausal
Related codes at this level
Codes that share Z78. If Z78.0 is not quite right, the correct code is usually one of these.
Questions about Z78.0
- Is Z78.0 a billable ICD-10-CM code?
- Yes. Z78.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Z78.0 sit in the tabular list?
- Factors influencing health status and contact with health services (Z00-Z99), in the block Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99).