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ICD-10 Coding for Puberty Labs(E30.1, E30.0)

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

Also known as:

Precocious Puberty TestingDelayed Puberty Evaluation

Related ICD-10 Code Ranges

Complete code families applicable to Puberty Labs

E30-E34Primary Range

Disorders of puberty

This range includes codes for precocious and delayed puberty, which are the primary focus of puberty labs.

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 central precocious puberty is confirmed by GnRH stimulation test.
  • LH peak >5 mIU/mL at 3 hours post-leuprolide
  • Bone age advancement ≥2 years
E30.0Delayed pubertyUse when puberty is delayed beyond normal age ranges without other underlying causes.
  • No testicular growth by age 14 or no menses by age 15
  • FSH <1.5 IU/L

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 central precocious puberty

Essential facts and insights about Puberty Labs

The ICD-10 code for central precocious puberty is E30.1, confirmed by GnRH stimulation test.

Primary ICD-10-CM Codes for puberty labs

Precocious puberty
Billable Code

Decision Criteria

clinical Criteria

  • Confirmed central precocious puberty with GnRH stimulation test.

Applicable To

  • Central precocious puberty

Excludes

  • Peripheral precocious puberty (E25.9)

Clinical Validation Requirements

  • LH peak >5 mIU/mL at 3 hours post-leuprolide
  • Bone age advancement ≥2 years

Code-Specific Risks

  • Incorrectly using for peripheral causes without central confirmation.

Coding Notes

  • Ensure documentation specifies central vs. peripheral causes.

Ancillary Codes

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

Short stature due to endocrine disorder

E34.3
Use when short stature is a result of endocrine issues, sequence after E30.1.

Differential Codes

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

Adrenogenital disorders

E25.9
Use for virilization without central precocious puberty.

Hypopituitarism

E23.0
Use for delayed puberty with multiple pituitary hormone deficiencies.

Documentation & Coding Risks

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

Impact

Clinical: Incomplete clinical picture, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials

Mitigation Strategy

Always document Tanner stages in evaluations, Use templates to ensure completeness

Impact

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

Mitigation Strategy

Ensure central precocity is confirmed with appropriate tests before coding.

Impact

Failure to document test results can lead to audit issues.

Mitigation Strategy

Ensure all test results are included in the patient's record.

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

Documentation Templates for Puberty Labs

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

Central Precocious Puberty Evaluation

Specialty: Endocrinology

Required Elements

  • Tanner staging
  • GnRH stimulation test results
  • Bone age assessment

Example Documentation

**Subjective**: Mother reports breast budding onset at 6y11m. No family history of CPP. **Objective**: - Tanner: B3, P2 - Growth: Height 135 cm (95th %ile), weight 32 kg (90th %ile) - Labs: Baseline LH 0.8 → 3h post-GnRH 7.2 mIU/mL - Imaging: Bone age 9.5y (Greulich-Pyle); MRI pituitary normal **Assessment**: Idiopathic central precocious puberty (E30.1) **Plan**: Leuprolide 7.5mg IM monthly

Examples: Poor vs. Good Documentation

Poor Documentation Example
Early puberty noted
Good Documentation Example
Tanner stage B3, P2; LH 6.8 mIU/mL post-GnRH; bone age 10y at chronological age 7y
Explanation
The good example provides specific clinical findings and test results necessary for accurate coding.

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

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