ICD-10 Coding for Estrogen Deficiency(E28.39, E23.0)
Complete ICD-10-CM coding and documentation guide for Estrogen Deficiency. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Estrogen Deficiency
E28.3-E28.39Primary Range
Ovarian dysfunction
Covers primary ovarian failure and related conditions leading to estrogen deficiency.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E28.39 | Other primary ovarian failure | Use when estrogen deficiency is due to primary ovarian failure. |
|
| E23.0 | Hypopituitarism | Use when estrogen deficiency is due to pituitary dysfunction. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for estrogen deficiency
Essential facts and insights about Estrogen Deficiency
Primary ICD-10-CM Codes for estrogen deficiency
Decision Criteria
clinical Criteria
- FSH >40 mIU/mL and E2 <30 pg/mL
Applicable To
- Decreased estrogen
- Resistant ovary syndrome
Excludes
- Postprocedural ovarian failure (E89.8)
Clinical Validation Requirements
- FSH >40 mIU/mL
- E2 <30 pg/mL
- Amenorrhea >4 months
Code-Specific Risks
- Incorrectly using for secondary causes.
Coding Notes
- Ensure documentation specifies primary ovarian failure.
E23.0 - Hypopituitarism
Use when estrogen deficiency is due to pituitary dysfunction.
Applicable To
- Secondary hypogonadism
Excludes
- Primary ovarian failure (E28.39)
Clinical Validation Requirements
- Low LH/FSH with low E2
- MRI-confirmed pituitary adenoma
Coding Notes
Document pituitary cause with imaging evidence.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Hormone replacement therapy
Z79.890Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Estrogen Deficiency to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E28.39.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Fails to meet coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Use specific terms like 'primary ovarian failure'., Include lab results.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Poor data quality for clinical research.
Mitigation Strategy
Use E28.39 for primary ovarian failure and E23.0 for pituitary causes.
Impact
Using general codes instead of specific ones.
Mitigation Strategy
Educate coders on specific criteria for each code.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Estrogen Deficiency, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Estrogen Deficiency
Use these documentation templates to ensure complete and accurate documentation for Estrogen Deficiency. These templates include all required elements for proper coding and billing.
Premature Ovarian Failure
Specialty: EndocrinologyRequired Elements
- FSH and E2 levels
- Symptoms like amenorrhea
- Exclusion of other causes
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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