ICD-10 Coding for Low Libido(R68.82, E29.1)
Complete ICD-10-CM coding and documentation guide for Low Libido. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Low Libido
R68.82Primary Range
Other general symptoms and signs
Primary code for idiopathic decreased libido without confirmed endocrine etiology.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R68.82 | Decreased libido | Use when decreased libido is idiopathic and not linked to an underlying condition. |
|
| E29.1 | Testicular hypofunction | Use when decreased libido is secondary to low testosterone levels. |
|
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 low libido
Essential facts and insights about Low Libido
Primary ICD-10-CM Codes for low libido
Decision Criteria
clinical Criteria
- Symptoms persist for more than 3 months without identifiable cause.
documentation Criteria
- Documented exclusion of depression and medication effects.
Applicable To
- Idiopathic decreased libido
Clinical Validation Requirements
- Duration of symptoms
- Exclusion of organic causes
- Distress level documentation
Code-Specific Risks
- Misuse when an underlying condition is present
Coding Notes
- Ensure exclusion of organic causes before using R68.82.
E29.1 - Testicular hypofunction
Use when decreased libido is secondary to low testosterone levels.
Applicable To
- Low testosterone levels
Excludes
- Idiopathic decreased libido (R68.82)
Clinical Validation Requirements
- Two AM fasting testosterone levels <300 ng/dL
- LH/FSH results
Coding Notes
Ensure testosterone levels are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Erectile dysfunction
N52.1Differential 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 Low Libido to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R68.82.
Impact
Clinical: Misdiagnosis of the underlying cause., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use PHQ-9 to assess depression, Document results in patient record
Impact
Reimbursement: Incorrect sequencing can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure the underlying condition is coded first, such as E29.1 for testicular hypofunction.
Impact
High audit risk when using R68.89 instead of R68.82.
Mitigation Strategy
Ensure specific codes are used with complete documentation.
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 Low Libido, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Low Libido
Use these documentation templates to ensure complete and accurate documentation for Low Libido. These templates include all required elements for proper coding and billing.
Endocrinology Evaluation
Specialty: EndocrinologyRequired Elements
- Patient history
- Testosterone levels
- LH/FSH results
- Exclusion of other causes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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