ICD-10 Coding for Low Testosterone Level(E29.1, E23.0, E89.5)
Complete ICD-10-CM coding and documentation guide for Low Testosterone Level. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Low Testosterone Level
E29-E30Primary Range
Disorders of male genital organs
Includes primary hypogonadism and related conditions affecting testosterone production.
Hypofunction and other disorders of the pituitary gland
Includes secondary hypogonadism due to pituitary dysfunction.
Postprocedural endocrine and metabolic complications and disorders
Includes hypogonadism resulting from surgical or medical procedures.
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 testicular failure conditions like Klinefelter syndrome. |
|
| E23.0 | Hypopituitarism | Use for hypogonadism due to pituitary or hypothalamic dysfunction. |
|
| E89.5 | Postprocedural testicular hypofunction | Use for hypogonadism resulting from medical 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 low testosterone levels
Essential facts and insights about Low Testosterone Level
Primary ICD-10-CM Codes for low testosterone level
Decision Criteria
clinical Criteria
- Presence of symptoms and low testosterone levels
Applicable To
- Primary hypogonadism
- Testosterone deficiency
Excludes
- Postprocedural hypogonadism (E89.5)
Clinical Validation Requirements
- Two AM testosterone levels <300 ng/dL
- Symptoms such as fatigue, reduced libido
- Elevated LH/FSH levels
Code-Specific Risks
- Incorrect use for postprocedural cases
Coding Notes
- Ensure documentation includes two separate testosterone measurements.
E23.0 - Hypopituitarism
Use for hypogonadism due to pituitary or hypothalamic dysfunction.
Applicable To
- Secondary hypogonadism
Excludes
- Primary hypogonadism (E29.1)
Clinical Validation Requirements
- Low testosterone with low/normal LH/FSH
- MRI evidence of pituitary lesion
Coding Notes
Document MRI findings and hormonal levels.
E89.5 - Postprocedural testicular hypofunction
Use for hypogonadism resulting from medical procedures.
Applicable To
- Hypogonadism following surgery or radiation
Excludes
- Primary hypogonadism (E29.1)
Clinical Validation Requirements
- Link between procedure and hypogonadism
- Documented low testosterone post-procedure
Coding Notes
Ensure clear documentation of the procedure causing hypogonadism.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Erectile dysfunction, unspecified
N52.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Low Testosterone Level to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E29.1.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with clinical guidelines., Financial: Potential claim denials.
Mitigation Strategy
Ensure two separate tests are conducted., Verify documentation before coding.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use E89.5 for postprocedural cases.
Impact
Audits may focus on the necessity of therapy based on documented testosterone levels.
Mitigation Strategy
Ensure documentation of symptoms and lab results justifying therapy.
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 Testosterone Level, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Low Testosterone Level
Use these documentation templates to ensure complete and accurate documentation for Low Testosterone Level. These templates include all required elements for proper coding and billing.
Primary hypogonadism diagnosis
Specialty: EndocrinologyRequired Elements
- Symptoms
- Testosterone levels
- LH/FSH levels
- Physical exam findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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