ICD-10 Code F32.81 – Premenstrual Dysphoric Disorder (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F32.81 – Premenstrual dysphoric disorder
What it is
F32.81 identifies premenstrual dysphoric disorder, a severe mood disorder tied to the luteal phase of the menstrual cycle. Symptoms improve after menses begins and are more intense than typical premenstrual symptoms.
Clinical signs
Common features include marked mood swings, irritability, depressed mood, anxiety, and decreased interest in usual activities. Clinical features vary; refer to documentation for the cyclical pattern and functional impact.
When to use this code
Use F32.81 when the record documents PMDD with symptoms that occur predictably before menstruation and resolve after onset of menses. You should also confirm that the clinician describes significant distress or interference with daily functioning.
Code it when the diagnosis is explicitly stated in the chart or supported by consistent menstrual-cycle timing. Check documentation if the note only describes nonspecific premenstrual discomfort or mood changes.
Do not use for
Do not use this code for ordinary premenstrual syndrome, isolated anxiety, or depression unrelated to the menstrual cycle. Check documentation if the cyclic pattern is not clearly established.
Coding tip
Look for documentation that links symptoms to the menstrual cycle, not just mood complaints, before assigning F32.81.