ICD-10 Coding for Hypotestosteronism(E29.1, E23.0, E89.5)
Complete ICD-10-CM coding and documentation guide for Hypotestosteronism. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypotestosteronism
E29-E29.9Primary Range
Disorders of male genital organs
This range includes primary hypogonadism and related disorders affecting testosterone production.
Hypofunction and other disorders of the pituitary gland
This range covers secondary hypogonadism due to pituitary dysfunction.
Postprocedural endocrine and metabolic complications and disorders
This range includes postprocedural hypogonadism, such as after chemotherapy or surgery.
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 for primary hypogonadism with confirmed testicular failure. |
|
| E23.0 | Hypopituitarism | Use for secondary hypogonadism due to pituitary dysfunction. |
|
| E89.5 | Postprocedural testicular hypofunction | Use for hypogonadism following a medical procedure. |
|
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 hypotestosteronism
Essential facts and insights about Hypotestosteronism
Primary ICD-10-CM Codes for hypotestosteronism
Decision Criteria
clinical Criteria
- Testosterone levels < 300 ng/dL on two separate occasions
coding Criteria
- Presence of elevated LH and FSH
Applicable To
- Primary hypogonadism
- Klinefelter syndrome
Excludes
- Secondary hypogonadism (E23.0)
Clinical Validation Requirements
- Two fasting morning total testosterone levels < 300 ng/dL
- Elevated LH and FSH levels
Code-Specific Risks
- Incorrect use when secondary causes are present.
Coding Notes
- Ensure documentation of elevated gonadotropins to confirm primary hypogonadism.
E23.0 - Hypopituitarism
Use for secondary hypogonadism due to pituitary dysfunction.
Applicable To
- Secondary hypogonadism due to pituitary disorders
Excludes
- Primary hypogonadism (E29.1)
Clinical Validation Requirements
- Low testosterone with low/normal LH and FSH
- MRI evidence of pituitary lesion
Coding Notes
Document MRI findings to support pituitary dysfunction.
E89.5 - Postprocedural testicular hypofunction
Use for hypogonadism following a medical procedure.
Applicable To
- Hypogonadism after chemotherapy
- Hypogonadism after bilateral orchidectomy
Excludes
- Primary hypogonadism (E29.1)
- Secondary hypogonadism (E23.0)
Clinical Validation Requirements
- History of relevant procedure
- Low testosterone levels post-procedure
Coding Notes
Ensure proper sequencing with procedure codes.
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 Hypotestosteronism to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E29.1.
Impact
Clinical: Inadequate support for diagnosis., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always include lab results in patient records., Use templates to ensure completeness.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding specificity requirements., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Ensure documentation supports specific diagnosis of primary hypogonadism.
Impact
Reimbursement: Claims may be denied without proper sequencing., Compliance: Fails to meet coding guidelines for postprocedural conditions., Data Quality: Inaccurate representation of patient history.
Mitigation Strategy
Always include the procedure code that led to hypogonadism.
Impact
Incomplete documentation can lead to audit failures.
Mitigation Strategy
Use standardized templates and checklists.
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 Hypotestosteronism, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypotestosteronism
Use these documentation templates to ensure complete and accurate documentation for Hypotestosteronism. These templates include all required elements for proper coding and billing.
Endocrinology Progress Note
Specialty: EndocrinologyRequired Elements
- Patient demographics
- Clinical symptoms
- Laboratory results
- Diagnosis
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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