Postcoital and contact bleeding

This code represents abnormal vaginal bleeding that occurs specifically after sexual intercourse (postcoital bleeding) or following any direct contact with the cervix or vagina (contact bleeding). It indicates bleeding that is not part of normal menstruation and is typically a symptom of an underlying gynecological condition.

Use this code when documentation clearly states the patient is experiencing bleeding immediately after or within a short period following sexual activity or physical contact with the genital area. Supporting documentation would include patient history detailing the timing of bleeding in relation to intercourse or contact, and a physician's assessment confirming this symptom.

• Always look for the underlying cause of the bleeding (e.g., cervicitis, cervical polyp, ectropion) and code it as the primary diagnosis if identified.
• This code should be used as a secondary diagnosis when a definitive cause for the postcoital/contact bleeding has been established and coded.
• Distinguish from intermenstrual bleeding (N92.1) or irregular menstruation (N92.5) unless the bleeding is explicitly linked to contact.