---
title: "ICD-10-CM F32.81: Premenstrual dysphoric disorder | BillingBrief"
description: "F32.81 is for premenstrual dysphoric disorder (PMDD) when the provider documents it. Premenstrual tension syndrome is a different diagnosis coded to N94.3…"
canonical: "https://billingbrief.com/icd10/f32.81/"
language: "en"
---

# F32.81 Premenstrual dysphoric disorder

ICD-10-CM · [CMS code reference](#source)

F32.81 is for premenstrual dysphoric disorder (PMDD) when the provider documents it. Premenstrual tension syndrome is a different diagnosis coded to N94.3, not F32.81.

## Coding notes

From the ICD-10-CM FY2027 (effective October 1, 2026) tabular list. Notes on a parent code or category apply here too.

### Includes

-   single episode of agitated depression
-   single episode of depressive reaction
-   single episode of major depression
-   single episode of psychogenic depression
-   single episode of reactive depression
-   single episode of vital depression

### Excludes1

Not coded together with this code. The exception is when the two conditions are unrelated to each other.

-   premenstrual tension syndrome (N94.3)
-   bipolar disorder (F31.-)
-   manic episode (F30.-)
-   recurrent depressive disorder (F33.-)

### Excludes2

Not part of this code, but both can be coded when both are documented.

-   adjustment disorder (F43.2)

## Related codes

-   [`F32.1` Major depressive disorder, single episode, moderate ICD-10-CM](https://billingbrief.com/icd10/f32.1/)
-   [`F32.2` Major depressive disorder, single episode, severe without psychotic features ICD-10-CM](https://billingbrief.com/icd10/f32.2/)
-   [`F32.3` Major depressive disorder, single episode, severe with psychotic features ICD-10-CM](https://billingbrief.com/icd10/f32.3/)
-   [`F32.4` Major depressive disorder, single episode, in partial remission ICD-10-CM](https://billingbrief.com/icd10/f32.4/)
-   [`F32.5` Major depressive disorder, single episode, in full remission ICD-10-CM](https://billingbrief.com/icd10/f32.5/)
-   [`F32.89` Other specified depressive episodes ICD-10-CM](https://billingbrief.com/icd10/f32.89/)
-   [`F32.9` Major depressive disorder, single episode, unspecified ICD-10-CM](https://billingbrief.com/icd10/f32.9/)
-   [`F32.A` Depression, unspecified ICD-10-CM](https://billingbrief.com/icd10/f32.a/)

## Common questions

### What's the difference between F32.81 and N94.3?

F32.81 is premenstrual dysphoric disorder, listed with the depressive episode codes. N94.3 is premenstrual tension syndrome. F32.81 has an Excludes1 note naming N94.3, so the two are not reported for the same condition; use the one the provider documents.

### Is F32.81 a billable code?

Yes. F32.81 is a billable ICD-10-CM code in the ICD-10-CM FY2027 (effective October 1, 2026) code set.

## From the source

Official description from [CMS](https://www.cms.gov/medicare/coding-billing/icd-10-codes).
ICD-10-CM FY2027 (effective October 1, 2026).

Code set

ICD-10-CM

Category

F32 Depressive episode

Chapter

Mental, behavioral and neurodevelopmental disorders

Billable

Yes

Educational reference only. Not medical, legal, or billing advice. Always check the current official code set and payer policy before you bill. [About BillingBrief and our sources](https://billingbrief.com/about/).