Excessive bleeding in the premenopausal period

This code signifies abnormally heavy or prolonged uterine bleeding occurring during the reproductive years, prior to menopause. It characterizes menstrual cycles that are regular in rhythm but excessive in flow or duration, impacting a patient's quality of life.

Apply this code when documentation indicates menorrhagia or polymenorrhea in a premenopausal patient, without an identified underlying organic cause such as fibroids, polyps, or coagulopathy. This is often used for dysfunctional uterine bleeding diagnoses.

• Ensure documentation specifies "premenopausal" or "reproductive age" to differentiate from postmenopausal bleeding.
• Do not use if a specific organic cause for the excessive bleeding is identified; instead, code the underlying condition.
• Consider sequencing with codes for associated symptoms like anemia (D50.0) if documented.