Excessive or frequent menstruation

This code signifies abnormally heavy or prolonged menstrual bleeding, also known as menorrhagia, or menstruation occurring at unusually short intervals (polymenorrhea). It describes a menstrual pattern that deviates significantly from the typical cycle in terms of duration or frequency.

Apply this code when documentation indicates a patient experiences excessive menstrual blood loss, prolonged periods (e.g., lasting more than 7 days), or menstrual cycles shorter than 21 days. Supporting documentation should specify the nature of the abnormal bleeding, such as "menorrhagia," "polymenorrhea," or "heavy, frequent periods."

• Differentiate from irregular menstruation (626.4) or intermenstrual bleeding (626.7), which describe different patterns of abnormal uterine bleeding.
• Always look for underlying causes documented, such as uterine fibroids or hormonal imbalances, and code them as primary if applicable.
• Ensure the documentation clearly specifies "excessive" or "frequent" to justify this specific code over more general abnormal bleeding codes.