ICD-10 Coding for Hypogonadism(E29.1, E23.0, G11.5, E89.5)
Complete ICD-10-CM coding and documentation guide for Hypogonadism. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypogonadism
E29-E30Primary Range
Disorders of male genital organs
This range includes primary and secondary hypogonadism, which are the main focus for coding hypogonadism.
Hypofunction and other disorders of the pituitary gland
This range includes codes for secondary hypogonadism due to pituitary dysfunction.
Hereditary ataxia
Includes hypogonadotropic hypogonadism as part of genetic syndromes like 4H syndrome.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E29.1 | Testicular hypofunction | Use when hypogonadism is due to testicular failure with elevated LH/FSH. |
|
| E23.0 | Hypopituitarism | Use when hypogonadism is due to pituitary dysfunction. |
|
| G11.5 | Hereditary ataxia with hypogonadotropic hypogonadism | Use when hypogonadism is part of a genetic syndrome. |
|
| E89.5 | Postprocedural testicular hypofunction | Use for hypogonadism following surgical procedures. |
|
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 hypogonadism
Essential facts and insights about Hypogonadism
Primary ICD-10-CM Codes for hypogonadism
Decision Criteria
clinical Criteria
- Elevated LH/FSH with low testosterone
Applicable To
- Primary hypogonadism
Excludes
- Postprocedural hypogonadism (E89.5)
Clinical Validation Requirements
- AM testosterone <300 ng/dL (x2)
- Elevated LH/FSH levels
Code-Specific Risks
- Misclassification with postprocedural hypogonadism
Coding Notes
- Ensure documentation includes specific lab results and clinical findings.
E23.0 - Hypopituitarism
Use when hypogonadism is due to pituitary dysfunction.
Applicable To
- Secondary hypogonadism
Clinical Validation Requirements
- AM testosterone <300 ng/dL (x2)
- Low/normal LH/FSH
- Pituitary MRI findings
Coding Notes
Document pituitary MRI findings to support coding.
G11.5 - Hereditary ataxia with hypogonadotropic hypogonadism
Use when hypogonadism is part of a genetic syndrome.
Applicable To
- 4H syndrome
Clinical Validation Requirements
- Genetic testing confirming syndrome
- MRI showing hypomyelination
Coding Notes
Ensure genetic testing and MRI findings are documented.
E89.5 - Postprocedural testicular hypofunction
Use for hypogonadism following surgical procedures.
Applicable To
- Post-surgical hypogonadism
Clinical Validation Requirements
- Hypogonadism onset within 6 months post-surgery
Coding Notes
Ensure linkage to the surgical procedure is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Personal history of resolved hypogonadism
Z87.438Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hypogonadism to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E29.1.
Impact
Clinical: Leads to vague clinical records., Regulatory: Non-compliance with specificity requirements., Financial: Potential claim denials.
Mitigation Strategy
Use specific codes when available, Verify lab results before coding
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data recording.
Mitigation Strategy
Verify the timing and cause of hypogonadism onset.
Impact
Using primary hypogonadism codes for postprocedural cases.
Mitigation Strategy
Educate coders on differentiation criteria.
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 Hypogonadism, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypogonadism
Use these documentation templates to ensure complete and accurate documentation for Hypogonadism. These templates include all required elements for proper coding and billing.
Endocrinology consultation for hypogonadism
Specialty: EndocrinologyRequired Elements
- Patient history
- Lab results
- Physical examination findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Hypogonadism? Ask your questions below.