ICD-10 Coding for Hypogonadotropic Hypogonadism(E23.0, G11.5)
Complete ICD-10-CM coding and documentation guide for Hypogonadotropic Hypogonadism. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypogonadotropic Hypogonadism
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 for isolated congenital hypogonadotropic hypogonadism, including Kallmann syndrome. |
|
| G11.5 | 4H syndrome | Use when hypogonadotropic hypogonadism is part of 4H syndrome. |
|
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 hypogonadotropic hypogonadism
Essential facts and insights about Hypogonadotropic Hypogonadism
Primary ICD-10-CM Codes for hypogonadotropic hypogonadism
Decision Criteria
clinical Criteria
- Low testosterone with low/normal LH and FSH
Applicable To
- Isolated congenital hypogonadotropic hypogonadism
- Kallmann syndrome
Excludes
- Primary testicular failure (E29.1)
Clinical Validation Requirements
- Two AM testosterone levels <300 ng/dL
- Low/normal LH and FSH levels
- Normal pituitary MRI
Code-Specific Risks
- Incorrectly using for primary hypogonadism cases.
Coding Notes
- Ensure documentation of low testosterone and normal pituitary MRI.
G11.5 - 4H syndrome
Use when hypogonadotropic hypogonadism is part of 4H syndrome.
Applicable To
- Hypomyelination
- Hypogonadotropic hypogonadism
- Hypodontia
Excludes
- Isolated hypogonadotropic hypogonadism (E23.0)
Clinical Validation Requirements
- Genetic confirmation of 4H syndrome
- Brain MRI showing hypomyelination
- Dental imaging showing hypodontia
Coding Notes
Document genetic and imaging findings to support coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Personal history of male hypogonadism
Z87.438Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hypogonadotropic Hypogonadism to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E23.0.
Impact
Clinical: Misdiagnosis and inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Review LH and FSH levels., Confirm MRI and genetic findings.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Confirm gonadotropin levels are low/normal before using E23.0.
Impact
Using primary hypogonadism codes for secondary cases.
Mitigation Strategy
Ensure thorough review of lab results and clinical presentation.
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 Hypogonadotropic Hypogonadism, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypogonadotropic Hypogonadism
Use these documentation templates to ensure complete and accurate documentation for Hypogonadotropic Hypogonadism. These templates include all required elements for proper coding and billing.
Endocrinology Progress Note
Specialty: EndocrinologyRequired Elements
- AM total testosterone levels
- LH and FSH levels
- Pituitary MRI results
- Genetic testing results
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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