Short answer · Medically reviewed summary · Last updated: 2026-04-07
The ICD-10 code for Premenstrual Dysphoric Disorder is N94.3, while the ICD-9 classification system does not contain a unique, specific code for this condition, often resulting in it being categorized under general premenstrual tension codes like 625.4. As a specialist physician, I understand that navigating the diagnostic process for Premenstrual Dysphoric Disorder can be incredibly taxing. While ICD codes are primarily administrative tools for billing and medical record-keeping, having the correct code is essential for securing insurance coverage for specialized treatments like GnRH analogues or hormone replacement therapies.
5 people with Premenstrual Dysphoric Disorder have shared their first-person experience on this question at DiseaseMaps.
ICD10 code of Premenstrual Dysphoric Disorder and ICD9 code
ICD-10 and ICD-9 codes for Premenstrual Dysphoric Disorder, with classification details for clinicians, coders and patients.
The ICD-10 code for Premenstrual Dysphoric Disorder is N94.3, while the ICD-9 classification system does not contain a unique, specific code for this condition, often resulting in it being categorized under general premenstrual tension codes like 625.4.
As a specialist physician, I understand that navigating the diagnostic process for Premenstrual Dysphoric Disorder can be incredibly taxing. While ICD codes are primarily administrative tools for billing and medical record-keeping, having the correct code is essential for securing insurance coverage for specialized treatments like GnRH analogues or hormone replacement therapies. Premenstrual Dysphoric Disorder is distinct from standard PMS due to the severity of its emotional and physical disturbances, which can profoundly impact your quality of life.
Clinical Significance of Coding
Because Premenstrual Dysphoric Disorder is a cyclic, endocrine-based condition, accurate coding ensures that your healthcare provider can properly track the effectiveness of interventions over time. Whether you are managing your symptoms through lifestyle adjustments or considering surgical interventions like a hysterectomy, having the specific N94.3 code helps document the clinical necessity of these treatments. Within our DiseaseMaps community, we see many members struggle to get their symptoms validated; using the correct diagnostic terminology is a vital step in advocating for the care you deserve.
Moving Forward
It is important to remember that a code is merely a label, not a limit on your potential for relief. Premenstrual Dysphoric Disorder requires a multidisciplinary approach, often involving gynecologists, endocrinologists, and mental health professionals. By documenting your symptoms consistently, you provide your care team with the data needed to justify targeted therapies. Please know that you are not alone in this journey, and our community is here to support you as you navigate these clinical pathways.
Medical Disclaimer: This information is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
References
- Orphanet (ORPHA: 64639)
- NIH Genetic and Rare Diseases Information Center (GARD)
- International Association for Premenstrual Disorders (IAPMD)
ICD-9-CM: 311, 625.4
Posted Jul 24, 2017 by Limerencia 2070
Posted Sep 10, 2017 by son678 2000
Posted Oct 22, 2017 by Deanna 2550
2015/16 ICD-10-CM N94.3 Premenstrual tension syndrome
Approximate Synonyms
Menstrual edema
Premenstrual dysphoric disorder
Premenstrual edema
Premenstrual swelling
Premenstrual symptom
Premenstrual syndrome
Premenstrual tension syndrome
Clinical Information
A more severe and disabling form of premenstrual syndrome in which mood symptoms are the primary characteristic
A term used to describe the psychological aspects of premenstrual syndrome, such as the "indescribable tension", depression, hostility, and increased seizure activity in women with seizure disorder
Occurs in some women prior to menstruation; salt and water retention cause weight gain and bloating; individuals may experience mood changes
Physiological, emotional, and mental stress related to the period of time immediately preceding menstruation
625.4 Excludes
menstrual migraine (346.4)
Applies To
Menstrual molimen
Premenstrual dysphoric disorder
Premenstrual syndrome
Premenstrual tension NOS
ICD-9-CM Coding Information
625.4 is only applicable to female patients.
ICD-9-CM Volume 2 Index entries containing back-references to 625.4:
Disorder - see also Disease
premenstrual dysphoric (PMDD) 625.4
Menstrual - see also Menstruation
molimen 625.4
Molimen, molimina (menstrual) 625.4
Pain(s) (see also Painful) 780.96
premenstrual 625.4
PMDD (premenstrual dysphoric disorder) 625.4
PMS 625.4
Premenstrual syndrome 625.4
Premenstrual tension 625.4
Syndrome - see also Disease
menstruation 625.4
premenstrual 625.4
premenstrual tension 625.4
Tension
premenstrual 625.4
ICD-9-CM codes are used in medical billing and coding to describe diseases, injuries, symptoms and conditions. ICD-9-CM 625.4 is one of thousands of ICD-9-CM codes used in healthcare. Although ICD-9-CM and CPT codes are largely numeric, they differ in that CPT codes describe medical procedures and services. Can't find a code? Start at the root of ICD-9-CM, check the 2015 ICD-9-CM Index or use the search engine at the top of this page to lookup any code.
http://www.icd9data.com/2015/Volume1/580-629/617-629/625/625.4.htm
Posted Aug 9, 2018 by April 3000
