abnormal dre icd 10

3 min read 10-03-2025

Meta Description: Understanding Abnormal Uterine Bleeding? This comprehensive guide explores ICD-10 codes for abnormal uterine bleeding (AUB), its causes, symptoms, diagnosis, and treatment options. Learn how to navigate this common gynecological issue. (158 characters)

What is Abnormal Uterine Bleeding (AUB)?

Abnormal uterine bleeding (AUB), also sometimes referred to as dysfunctional uterine bleeding (DUB), is defined as any bleeding from the vagina that is irregular in amount, frequency, or duration. It's not necessarily heavy bleeding; it's about the irregularity itself. AUB is a common reason women seek medical attention. It affects women of all ages, but is particularly common during perimenopause and menopause.

ICD-10 Codes for Abnormal Uterine Bleeding

The International Classification of Diseases, Tenth Revision (ICD-10) uses specific codes to classify AUB. The exact code used will depend on the underlying cause and the specific presentation of the bleeding. It's crucial to note that a healthcare professional must make this diagnosis and assign the correct code. Self-diagnosing and coding is not recommended.

Here are some examples of ICD-10 codes commonly associated with AUB:

N94.0: Menorrhagia (excessive menstrual bleeding)
N94.1: Metrorrhagia (uterine bleeding between periods)
N94.2: Menometrorrhagia (heavy and irregular uterine bleeding)
N94.3: Postmenopausal bleeding
N93.0: Unspecified abnormal uterine bleeding

These codes are used for billing and record-keeping purposes within the healthcare system. The choice of code will depend upon the specific clinical findings.

Causes of Abnormal Uterine Bleeding

AUB can have various underlying causes, ranging from hormonal imbalances to more serious conditions. Some common causes include:

Hormonal imbalances: Fluctuations in estrogen and progesterone levels, often associated with puberty, perimenopause, or menopause.
Ovulatory dysfunction: Problems with the release of eggs from the ovaries.
Structural problems: Uterine fibroids (benign tumors), polyps, or endometrial hyperplasia (thickening of the uterine lining).
Medical conditions: Thyroid disorders, blood clotting disorders, or certain medications.
Pregnancy complications: Miscarriage, ectopic pregnancy (pregnancy outside the uterus).

It's important to consult a doctor to determine the root cause of your AUB.

Diagnosing Abnormal Uterine Bleeding

Diagnosing AUB involves a thorough medical history, physical examination, and often additional testing such as:

Pelvic exam: To assess the condition of the cervix and uterus.
Transvaginal ultrasound: To visualize the uterus and ovaries for any abnormalities.
Blood tests: To check hormone levels and rule out other medical conditions.
Endometrial biopsy: A small sample of the uterine lining is removed for examination.
Hysteroscopy: A thin, lighted scope is inserted into the uterus to visualize the uterine cavity.

The diagnostic approach will vary depending on individual circumstances and the patient's age.

Treating Abnormal Uterine Bleeding

Treatment options for AUB depend on the underlying cause, severity of bleeding, and the patient's overall health and preferences. Some treatment options include:

Medications: Hormonal medications (birth control pills, progestins) to regulate the menstrual cycle. Non-steroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation.
Surgery: Procedures such as endometrial ablation (removal of the uterine lining) or hysterectomy (removal of the uterus) might be necessary in certain cases.

When to See a Doctor

If you experience any irregular vaginal bleeding, it is essential to seek medical attention. This is particularly true if the bleeding is heavy, prolonged, or accompanied by other symptoms such as severe pain, dizziness, or fatigue.

Conclusion

Abnormal uterine bleeding (AUB) is a common gynecological issue with diverse causes. Accurate diagnosis, through a healthcare professional, utilizing appropriate ICD-10 codes, is crucial for effective treatment. Understanding the causes, diagnosis, and treatment options available can help you navigate this health concern effectively. Remember, early intervention and proper medical care are key to managing AUB and maintaining overall women's health. Remember to always consult a doctor for diagnosis and treatment. They can properly assess your specific situation and provide personalized guidance.