Menopausal Disorder ICD-10: Coding Guidance for Women’s Health Care

Menopause is a natural life stage marked by hormonal changes that can influence musculoskeletal health, pelvic function, sleep quality, and pain perception. These changes frequently intersect with women’s health services, where care plans often address pain, functional limitations, and participation restrictions related to the menopausal transition. When documenting this care, accurate menopausal disorder ICD-10 coding supports clear documentation and communication across care settings.

In this article, we provide a focused overview of menopausal disorder ICD-10 coding within the context of women’s health. We review how menopausal disorders are classified in ICD-10-CM, outline commonly used codes, discuss documentation considerations, and include an example to illustrate appropriate code selection.

Understanding menopausal disorders in ICD-10-CM

Menopausal disorders are classified in ICD-10-CM Chapter 14: Diseases of the Genitourinary System, primarily under category N95.¹ These codes describe symptoms associated with the menopausal and perimenopausal transition, including vasomotor symptoms, tissue changes, and hormonal shifts that may influence physical function.

ICD-10-CM differentiates between natural menopause and menopause caused by surgical or medical intervention. It also distinguishes between generalized menopausal states and specific symptom presentations, such as genitourinary changes. These distinctions allow clinicians to document menopause as a contributing factor when it affects activity tolerance, pain patterns, or recovery capacity—particularly when symptoms do not resolve with standard musculoskeletal or pelvic interventions alone.

Menopause should not be coded based on age alone. The menopausal state must be clearly documented and linked to the patient’s reported symptoms, functional limitations, and clinical presentation.

Common menopausal disorder ICD-10 codes

In practice, a small group of ICD-10-CM codes accounts for most menopause-related documentation in women’s health settings. These codes are used when menopausal symptoms influence care delivery, progression, or outcomes.

N95.1 – Menopausal and female climacteric states

This code is used for natural menopause or perimenopause when symptoms such as hot flashes, sleep disruption, fatigue, or pain affect daily function. It is frequently applied when menopausal changes contribute to musculoskeletal or pelvic health complaints.

N95.2 – Postmenopausal atrophic vaginitis

This code reflects tissue changes related to estrogen decline, including dryness or irritation. These changes may influence pelvic floor function, tolerance to examination or movement, and participation in daily activities.

N95.8 – Other specified menopausal and perimenopausal disorders

This option may be used when menopausal symptoms are documented but do not align with another N95 category. Clear charting is needed to describe the symptom pattern being addressed.

N95.9 – Menopausal and perimenopausal disorder, unspecified

Unspecified codes may be used when limited information is available, though they may prompt requests for clarification if services continue over time.

E89.40 and E89.41 – Postprocedural ovarian failure

These codes describe menopause resulting from surgical or medical intervention. Differentiating induced menopause from natural menopause supports accurate reporting and continuity of care when clinically relevant.

Selecting among these codes requires linking the menopausal state to the symptoms and functional concerns being addressed within the episode of care.

Documentation considerations for menopausal disorder ICD-10 coding

Clear documentation supports accurate menopausal disorder ICD-10 coding and helps align diagnosis with the plan of care. Inconsistent or vague charting, by contrast, can obscure the role of menopause in symptom progression and complicate clinical communication.

Records should reflect the presence of menopause or perimenopause and describe how associated symptoms influence function. Helpful documentation elements include:

• Confirmation of menopausal or perimenopausal status

• Description of symptoms affecting movement, endurance, or participation

• Connection between hormonal changes and reported complaints

• Clinical reasoning linking menopausal changes to treatment goals

When menopause contributes to pelvic discomfort, joint stiffness, sleep disruption, or altered pain sensitivity, documenting this relationship strengthens the rationale for both diagnosis selection and intervention planning.

Menopause and women’s health care planning

Menopause can influence multiple systems commonly addressed in women’s health services, including pelvic floor muscle performance, connective tissue response to load, and recovery patterns following activity. Hormonal changes may also affect sleep quality and fatigue, shaping session tolerance, progression rates, and adherence over time.²

In this context, extending care beyond the clinic can support continuity and access during the menopausal transition. Medbridge Pathways for women’s health care by delivering symptom-specific programs that enable longer-term management without increasing provider workload.

In practice, this model allows clinicians to deliver menopause-related care through:

• Structured home exercise programs that reinforce in-clinic treatment and support consistency between visits

• Integrated patient education to address symptom management, pelvic health, and activity modification

• Phased exercise progressions that allow care to advance as tolerance and function improve

• Remote monitoring to identify stalled recovery or symptom flares earlier

• Ongoing patient engagement tools that support adherence when symptoms fluctuate over time

ICD-10 coding should reflect how menopausal changes contribute to functional limitations and clinical presentation, rather than treating menopause as an isolated diagnosis. When coding is aligned with functional findings and care delivery, it supports clearer clinical reasoning, stronger documentation, and more coordinated women’s health care.

Example: applying menopausal disorder ICD-10 in practice

A 51-year-old patient has persistent pelvic discomfort, disrupted sleep, and increasing difficulty tolerating prolonged standing and household tasks. She reports that symptoms began during perimenopause and have progressed over the past year despite prior orthopedic care.

Assessment findings include elevated pelvic floor muscle tone, reduced hip mobility, and decreased activity tolerance during functional tasks. The clinician documents that hormonal changes associated with perimenopause are contributing to pain sensitivity and delayed recovery.

Relevant ICD-10 codes may include:

• N95.1 – Menopausal and Female Climacteric States

• A secondary diagnosis addressing pelvic pain or muscle dysfunction, when documented

In this scenario, N95.1 reflects the menopausal transition as a contributing factor to symptom presentation, while the secondary code captures the specific impairment guiding intervention within the plan of care.

Supporting women’s health services through accurate coding

Menopause is a normal life stage, yet its associated symptoms can influence physical function, participation, and quality of life.² ICD-10-CM offers a structured framework for documenting these changes when they intersect with women’s health services.

Accurate menopausal disorder ICD-10 coding supports:

• Alignment between diagnosis, documentation, and care planning

• Clear communication across care settings

• Appropriate reimbursement and regulatory compliance

• Longitudinal tracking of women’s health outcomes

Continuing education in pelvic health, pain management, and the hormonal influences on movement can help clinicians document menopause-related care more consistently. Medbridge courses in these areas support clinical reasoning, accurate coding, and evidence-informed care planning across women’s health services.

When used intentionally, menopausal disorder ICD-10 codes allow clinicians to position menopause not as a standalone diagnosis, but as a meaningful contributor to function, recovery, and participation. By linking hormonal transitions to clinical findings and treatment goals, women’s health providers can strengthen documentation, improve interdisciplinary communication, and support higher-quality care across the menopausal lifespan.

This article is provided for informational purposes only and is not intended as medical, legal, or billing advice. ICD-10-CM coding requirements may vary based on payer policies, clinical documentation, and regulatory updates. Clinicians and organizations should consult official coding guidelines and relevant regulatory resources when making coding and billing decisions.

References

1. World Health Organization. (2019). International statistical classification of diseases and related health problems (10th rev.) (ICD-10), N95.1—Menopausal and female climacteric states. https://icd.who.int/browse10/2019/en#/N95.1

2. National Institute on Aging. (2023). Menopause. U.S. Department of Health and Human Services, National Institutes of Health. https://www.nia.nih.gov/health/menopause