ICD-10 Code E28.31 – Premature menopause (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code E28.31 – Premature menopause
What it is
Premature menopause means ovarian function stops earlier than expected, leading to loss of menstrual periods before the usual age. Use this code when the record specifically documents premature menopause.
Clinical signs
Common findings include absent or irregular menses and symptoms linked to estrogen loss, such as hot flashes or vaginal dryness. Clinical features vary; refer to documentation.
When to use this code
Use E28.31 when the clinician documents premature menopause, early menopause, or menopause occurring before the expected age. It may also apply when the note clearly identifies ovarian failure as premature menopause.
Code it from the provider’s diagnosis, not from age alone or from nonspecific menstrual irregularity. If the chart only says amenorrhea, perimenopause, or suspected hormonal change, check documentation before assigning this code.
Do not use for
Do not use this code for normal menopausal transition, postmenopausal status, or menstrual irregularity without a diagnosis of premature menopause. Check documentation.
Coding tip
Confirm that the provider links the condition to premature menopause, since similar symptoms may be documented under other endocrine or gynecologic diagnoses.