Excessive menstruation at puberty

This code describes abnormally heavy or prolonged menstrual bleeding occurring in adolescent females during the peripubertal period. It signifies dysfunctional uterine bleeding that manifests at the onset of menstruation or shortly thereafter, without an identifiable organic cause.

Assign this code when documentation specifies menorrhagia or metrorrhagia in a patient who is post-menarche but still in the pubertal stage of development. Supporting documentation should indicate excessive bleeding, such as prolonged duration, increased volume, or frequent episodes, and rule out other causes like pregnancy, coagulopathies, or structural abnormalities.

• Ensure the patient's age and the timing of the bleeding align with the "at puberty" specification.
• Distinguish from other codes for abnormal uterine bleeding (e.g., N92.0, N92.1) which do not specify the pubertal onset.
• Code any underlying causes of the excessive bleeding, if identified, in addition to this code.