What is the ICD 10 code for primary amenorrhea?
N91. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
What is an example of primary amenorrhea?
Primary amenorrhea is the failure of menses to occur by age 16 years, in the presence of normal growth and secondary sexual characteristics. If by age 13 menses has not occurred and the onset of puberty, such as breast development, is absent, a workup for primary amenorrhea should start.
What are primary and secondary amenorrhea?
Amenorrhea is missing one or more periods. If you are older than 15 and haven’t gotten your first period (primary amenorrhea) or you’ve missed a period for a few months (secondary amenorrhea), talk to your healthcare provider.
What is a primary amenorrhea?
DEFINITION. Primary amenorrhea is defined as the absence of menses at age 15 years in the presence of normal growth and secondary sexual characteristics. The identification of primary amenorrhea should always prompt a thorough evaluation to identify a cause [1].
What is the ICD-10 code for secondary amenorrhea?
N91. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
How do you evaluate primary amenorrhea?
Timing of the evaluation of primary amenorrhea recognizes the trend to earlier age at menarche and is therefore indicated when there has been a failure to menstruate by age 15 in the presence of normal secondary sex- ual development (two standard deviations above the mean of 13 years), or within five years after breast …
How is primary amenorrhea treated?
In some cases, birth control pills or other hormone therapies can restart your menstrual cycles. Amenorrhea caused by thyroid or pituitary disorders may be treated with medications. If a tumor or structural blockage is causing the problem, surgery may be necessary.
What are the causes of secondary amenorrhea?
Secondary amenorrhea can occur due to natural changes in the body. For example, the most common cause of secondary amenorrhea is pregnancy. Breastfeeding and menopause are also common, but natural causes.
When is primary amenorrhea tested?
Primary amenorrhea is defined as the failure to reach menarche. Evaluation should be undertaken if there are no secondary sex characteristics by 13 years of age, if menarche has not occurred five years after initial breast development, or if the patient is 15 years or older.
How do I know if I have primary amenorrhea?
Depending on the cause of amenorrhea, you might experience other signs or symptoms along with the absence of periods, such as: Milky nipple discharge. Hair loss. Headache.
When is primary amenorrhea considered to be present?
Primary or secondary amenorrhea (respectively) is considered to be present when a girl has: not developed menstrual periods by age 16; or a woman who has previously had a menstrual cycle stops having menstrual periods for three cycles in a row, or for a time period of six months or more and is not pregnant.
What is the pathophysiology of amenorrhea?
It is a series of events that includes thelarche, pubarche, and menarche. Primary amenorrhea is the absence of menarche. There are numerous etiologies including outflow tract obstructions, gonadal dysgenesis, and anomalies of the hypothalamic axis.
What are the possible complications of primary amenorrhea?
Complications If primary amenorrhea is associated with decreased estrogen levels, it can cause an increased risk of bone fractures due to reduced bone density from osteoporosis. [16] Deterrence and Patient Education
Should amenorrhea be considered on a differential diagnosis?
The causes of amenorrhea are diverse. This activity outlines the evaluation and management of amenorrhea and highlights the role of the interprofessional team in managing and improving care for patients with this condition. This activity examines when this condition should be considered on a differential diagnosis and how to evaluate it properly.