Premenstrual tension syndrome

This code represents a constellation of physical and emotional symptoms that occur in the luteal phase of the menstrual cycle and resolve with menstruation. These symptoms are significant enough to cause distress or functional impairment but do not meet the diagnostic criteria for a depressive disorder.

Use this code when documentation clearly indicates a diagnosis of premenstrual tension syndrome, premenstrual syndrome (PMS), or premenstrual molimina. This diagnosis is typically supported by patient-reported symptoms, a symptom diary, and the exclusion of other conditions.

• Do not code this with F32.81 (Premenstrual dysphoric disorder) due to the Excludes1 note.
• Ensure documentation differentiates between mild, common premenstrual symptoms and a clinically significant syndrome.
• Consider sequencing this code as a primary diagnosis when it is the reason for the encounter, or as a secondary diagnosis if it is a co-morbidity impacting management.