Premenopausal menorrhagia

This code describes abnormally heavy or prolonged menstrual bleeding occurring in women who are still in their reproductive years, prior to menopause. It indicates dysfunctional uterine bleeding where no organic cause (like fibroids or polyps) has been identified, and the bleeding pattern is excessive.

Use this code when documentation specifies menorrhagia in a premenopausal patient, particularly when other causes of abnormal uterine bleeding have been ruled out. This diagnosis is often made after a workup for heavy menstrual bleeding, including imaging and biopsies, has not revealed a specific structural etiology.

• Ensure documentation explicitly states "premenopausal" or indicates the patient's age and reproductive status align with premenopause.
• Do not use this code if an underlying organic cause for the heavy bleeding (e.g., uterine fibroids, endometrial polyps) is identified; code the specific cause instead.
• Distinguish from postmenopausal bleeding (627.1) or other specified menstrual disorders.