Postmenopausal bleeding

This code represents any vaginal bleeding that occurs after a woman has completed 12 consecutive months without a menstrual period, signifying the cessation of ovarian function. It is a symptom that warrants further investigation to rule out underlying pathology.

Apply this code when documentation explicitly states "postmenopausal bleeding" or "PMP bleeding." This diagnosis is appropriate for initial evaluation and subsequent management of such bleeding episodes in postmenopausal individuals.

• Always query for the underlying cause if not documented, as postmenopausal bleeding is a symptom, not a definitive diagnosis.
• Do not confuse with abnormal uterine bleeding in perimenopausal or premenopausal women; those require different codes.
• This code is often sequenced first as the presenting symptom, followed by codes for any definitive diagnoses found (e.g., endometrial hyperplasia, uterine polyp).