Sorry Preserene but I have to agree with the others on this. The 626.8 is absolutely an incorrect choice in this case. The main category heading which must be a part of the 626.8 code states this is a disorder or menstruation and other abnormal bleeding. So when 626.8 states suppression of menstruation as a definiton it is meant supression as a disorder of the patient and not a normal patient that wishes to have a suppression of menstruation due to debilitation. This code is also in the chapter for diseases and disorders of the genitourinary system, which this patient does not have. Also the CDC creates ICD-9 codes not the AMA. No one is questioning your experience or expertise. It is just a misinterpretationof the codes. We need to remember that this is the patient's dx and we must be absolutely correct and not read too much into what we are seeing either in the physician notes or in the ICD-9 book. The CDC has put these codes in the book in a specific fashion for specific purposes. While your rational is quite well thought out, the code simple does not work the way you would like it too. The patient has no complain nor an identified genitourinary illness by the physician, and therefore we cannot use a code from this chapter. I hope this will help everyone.
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