ICD-10 Coding for Growth Hormone Deficiency(E23.0, E34.3)
Complete ICD-10-CM coding and documentation guide for Growth Hormone Deficiency. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Growth Hormone Deficiency
E23.0-E23.6Primary Range
Disorders of the pituitary gland
This range includes codes for hypopituitarism and other pituitary disorders, which are primary for GHD.
Short stature due to endocrine disorder
This code is used for short stature related to endocrine issues without confirmed pituitary cause.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E23.0 | Hypopituitarism | Use when there is confirmed hypopituitarism with failed GH stimulation tests. |
|
| E34.3 | Short stature due to endocrine disorder | Use when short stature is due to endocrine issues without confirmed pituitary cause. |
|
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 growth hormone deficiency
Essential facts and insights about Growth Hormone Deficiency
Primary ICD-10-CM Codes for growth hormone deficiency
Decision Criteria
clinical Criteria
- Confirmed hypopituitarism with failed GH stimulation tests
documentation Criteria
- Documented peak GH ≤5 µg/L on ITT
Applicable To
- Growth hormone deficiency due to pituitary dysfunction
Excludes
- Short stature without pituitary cause (E34.3)
Clinical Validation Requirements
- Peak GH ≤5 µg/L on insulin tolerance test (ITT)
- Documented hypopituitarism with specific hormone deficiencies
Code-Specific Risks
- Incorrectly coding as short stature without pituitary cause
Coding Notes
- Ensure documentation supports hypopituitarism diagnosis with failed GH tests.
E34.3 - Short stature due to endocrine disorder
Use when short stature is due to endocrine issues without confirmed pituitary cause.
Applicable To
- Idiopathic short stature with endocrine dysfunction
Excludes
- Hypopituitarism (E23.0)
Clinical Validation Requirements
- Height >2.25 SD below mean for age/gender
- No organic pituitary pathology
Coding Notes
Ensure documentation excludes pituitary causes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Growth Hormone Deficiency to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E23.0.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Implement checklist for required documentation., Regular training on documentation standards.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure GH stimulation tests confirm hypopituitarism before using E23.0.
Impact
Lack of GH test results in documentation can trigger audits.
Mitigation Strategy
Ensure all GH test results are documented and easily accessible.
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 Growth Hormone Deficiency, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Growth Hormone Deficiency
Use these documentation templates to ensure complete and accurate documentation for Growth Hormone Deficiency. These templates include all required elements for proper coding and billing.
Pediatric GHD Diagnosis
Specialty: EndocrinologyRequired Elements
- Patient history
- Growth chart
- GH stimulation test results
- Endocrinologist evaluation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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