Symptomatic premature menopause

This code signifies the premature cessation of ovarian function, occurring before the age of 40, accompanied by bothersome symptoms such as hot flashes, night sweats, vaginal dryness, or mood changes. It indicates that the patient is experiencing the physical and/or psychological manifestations associated with early menopause.

Apply this code when a patient under 40 years old presents with clinical symptoms of menopause, and diagnostic workup (e.g., elevated FSH, low estradiol) confirms ovarian insufficiency. Documentation should clearly state the patient's age, the presence of menopausal symptoms, and the diagnosis of premature menopause.

• Distinguish from asymptomatic premature menopause, which would be coded differently.
• Always sequence this code as a primary diagnosis when it is the reason for the encounter.
• Ensure the medical record explicitly documents the patient's age and the specific menopausal symptoms experienced.