Premenstrual dysphoric disorder

This diagnosis code represents a severe form of premenstrual syndrome characterized by significant mood disturbances, irritability, anxiety, and other physical and behavioral symptoms that disrupt daily functioning. These symptoms consistently occur in the luteal phase of the menstrual cycle and remit shortly after menses begins.

Apply this code for patients presenting with documented symptoms meeting the diagnostic criteria for premenstrual dysphoric disorder, as outlined in the DSM-5. This typically involves a prospective daily symptom rating for at least two menstrual cycles confirming the cyclical pattern and severity of symptoms.

• Ensure documentation clearly distinguishes PMDD from less severe premenstrual symptoms or other mood disorders.
• Remember the "Excludes1" note for premenstrual tension syndrome (N94.3); these conditions are never coded together.
• Look for provider documentation explicitly stating "premenstrual dysphoric disorder" or symptoms that unequivocally meet its diagnostic criteria.