Puberty bleeding

This code represents abnormal uterine bleeding occurring during puberty, specifically in adolescent females. It refers to irregular, heavy, or prolonged menstrual bleeding that deviates from the expected pattern of menarche and early menstrual cycles. This condition is often associated with anovulatory cycles common in the initial years after menarche.

Use this code for adolescent patients presenting with dysfunctional uterine bleeding during their pubertal years. Documentation should clearly indicate the patient's age, the onset of menarche, and a description of the abnormal bleeding pattern (e.g., menorrhagia, metrorrhagia, polymenorrhea) without an identifiable organic cause. This code is appropriate when other causes of bleeding, such as pregnancy, trauma, or coagulopathy, have been ruled out.

• Ensure documentation specifies "puberty" or "adolescent" to support the age-specific nature of this code.
• Distinguish from abnormal bleeding in pre-pubertal or adult women, which would require different codes.
• Always sequence this code as a primary diagnosis when it is the reason for the encounter.