ICD-10 Coding for Male Hypogonadism(E29.1, E23.0, E89.5)
Complete ICD-10-CM coding and documentation guide for Male Hypogonadism. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Male Hypogonadism
E29-E30Primary Range
Disorders of male genital organs
This range includes codes for male hypogonadism and related disorders.
Hypofunction and other disorders of the pituitary gland
This range includes codes for secondary hypogonadism due to pituitary dysfunction.
Postprocedural endocrine and metabolic complications and disorders
This range includes codes for hypogonadism resulting from 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 hypogonadism with testicular failure. |
|
| E23.0 | Hypopituitarism | Use for secondary hypogonadism due to pituitary 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 male hypogonadism
Essential facts and insights about Male Hypogonadism
Primary ICD-10-CM Codes for male hypogonadism
Decision Criteria
clinical Criteria
- Testosterone levels <300 ng/dL and elevated LH/FSH
documentation Criteria
- Two morning testosterone tests documented
Applicable To
- Primary hypogonadism
- Testicular failure
Excludes
- Secondary hypogonadism (E23.0)
Clinical Validation Requirements
- Two consecutive morning testosterone levels <300 ng/dL
- Elevated LH/FSH levels
- Testicular pathology such as small testes
Code-Specific Risks
- Confusion with secondary hypogonadism
- Incorrect documentation of lab results
Coding Notes
- Ensure documentation includes specific lab values and physical exam findings.
E23.0 - Hypopituitarism
Use for secondary hypogonadism due to pituitary dysfunction.
Applicable To
- Secondary hypogonadism due to pituitary dysfunction
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 hormone levels clearly.
E89.5 - Postprocedural testicular hypofunction
Use for hypogonadism resulting from medical procedures.
Applicable To
- Hypogonadism following surgery or radiation
Excludes
- Primary or secondary hypogonadism not related to procedures
Clinical Validation Requirements
- Documentation linking hypogonadism to a specific procedure
Coding Notes
Ensure clear documentation of the procedure and its timing.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Male 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: May lead to misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure lab results are clearly documented, Include specific hormone levels
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Verify LH/FSH levels and pituitary findings before coding.
Impact
Missing or incorrect hormone levels can lead to audit issues.
Mitigation Strategy
Implement a checklist for required lab 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 Male Hypogonadism, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Male Hypogonadism
Use these documentation templates to ensure complete and accurate documentation for Male Hypogonadism. These templates include all required elements for proper coding and billing.
Primary Hypogonadism Diagnosis
Specialty: EndocrinologyRequired Elements
- Patient symptoms
- Testosterone levels
- LH/FSH levels
- Physical exam findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Male Hypogonadism? Ask your questions below.