Excessive and frequent menstruation with irregular cycle

This code signifies abnormal uterine bleeding characterized by both menorrhagia (excessive and prolonged menstrual flow) and metrorrhagia (irregular, non-cyclic bleeding). It describes a menstrual pattern where periods are heavy and/or long, occurring at unpredictable intervals.

Apply this code when documentation indicates a patient experiences both abnormally heavy/prolonged menstrual bleeding and irregular menstrual cycles. This is often used for dysfunctional uterine bleeding where no specific organic cause (e.g., fibroids, polyps) has been identified, or when the irregular, heavy bleeding is the primary presenting symptom.

• Do not use if a more specific underlying cause for the abnormal bleeding is documented (e.g., uterine fibroids, endometrial hyperplasia).
• Consider sequencing this code as a primary diagnosis when the irregular, excessive menstruation is the reason for the encounter.
• Ensure documentation clearly distinguishes between heavy/prolonged flow and irregular timing; both components must be present for this code.