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ICD-10 Coding for Precocious Puberty(E30.1, E22.8)

Complete ICD-10-CM coding and documentation guide for Precocious Puberty. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Early PubertyPremature Puberty

Related ICD-10 Code Ranges

Complete code families applicable to Precocious Puberty

E30-E35Primary Range

Disorders of puberty

This range includes disorders related to abnormal timing of puberty, including precocious puberty.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
E30.1Precocious pubertyUse when precocious puberty is diagnosed without central causes.
  • Bone age advancement ≥2 years above chronological age
  • Presence of secondary sexual characteristics before age 8 in females or 9 in males
E22.8Other hyperfunction of pituitary glandUse when central precocious puberty is confirmed.
  • Elevated LH/FSH levels post-GnRH stimulation
  • MRI findings indicating central nervous system involvement

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 precocious puberty

Essential facts and insights about Precocious Puberty

The ICD-10 code for precocious puberty is E30.1 for peripheral causes and E22.8 for central causes.

Primary ICD-10-CM Codes for precocious puberty

Precocious puberty
Billable Code

Decision Criteria

clinical Criteria

  • Presence of secondary sexual characteristics before age 8 in females or 9 in males.

coding Criteria

  • Exclude central causes before using E30.1.

Applicable To

  • Peripheral precocious puberty

Excludes

  • Central precocious puberty (E22.8)
  • Congenital adrenal hyperplasia (E25.0)

Clinical Validation Requirements

  • Bone age advancement ≥2 years above chronological age
  • Presence of secondary sexual characteristics before age 8 in females or 9 in males

Code-Specific Risks

  • Incorrectly coding central precocious puberty as E30.1

Coding Notes

  • Ensure differentiation between central and peripheral causes before coding.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Encounter for routine child health exam with abnormal findings

Z00.121
Use for monitoring growth and development in children with precocious puberty.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Central precocious puberty

E22.8
Use when central activation of puberty is confirmed, often with elevated LH/FSH levels post-GnRH stimulation.

Congenital adrenal hyperplasia

E25.0
Use when adrenal-related causes of precocious puberty are identified.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Precocious Puberty to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E30.1.

Impact

Clinical: Misdiagnosis of puberty type., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.

Mitigation Strategy

Use specific clinical terms and measurements., Include detailed test results.

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data recording.

Mitigation Strategy

Confirm central causes and use E22.8 instead.

Impact

Using E30.1 for central causes.

Mitigation Strategy

Ensure proper clinical validation before coding.

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 Precocious Puberty, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Precocious Puberty

Use these documentation templates to ensure complete and accurate documentation for Precocious Puberty. These templates include all required elements for proper coding and billing.

Central Precocious Puberty Diagnosis

Specialty: Endocrinology

Required Elements

  • Patient age and sex
  • Onset of secondary sexual characteristics
  • Bone age assessment
  • Hormonal test results
  • Imaging findings

Example Documentation

Age: 7y 4m. Tanner stage 3 breast development at 7y 2m; bone age 10y via left wrist X-ray; LH 7.2 IU/L post-leuprolide stimulation.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Early puberty noted.
Good Documentation Example
Tanner stage 3 breast development at 7y 2m; bone age 10y via left wrist X-ray; LH 7.2 IU/L post-leuprolide stimulation.
Explanation
The good example provides specific clinical details necessary for accurate coding.

Need help with ICD-10 coding for Precocious Puberty? Ask your questions below.

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