ICD-10 Coding for Testicular Hypogonadism(E29.1, E23.0, E89.5)
Complete ICD-10-CM coding and documentation guide for Testicular Hypogonadism. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Testicular Hypogonadism
E29-E30Primary Range
Disorders of male genital organs
This range includes codes for testicular hypofunction and related disorders.
Hypofunction and other disorders of the pituitary gland
Includes codes for hypogonadism due to pituitary causes.
Postprocedural endocrine and metabolic complications and disorders
Includes codes for hypogonadism following 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 when hypogonadism is due to primary testicular failure. |
|
| E23.0 | Hypopituitarism | Use when hypogonadism is secondary to pituitary dysfunction. |
|
| E89.5 | Postprocedural testicular hypofunction | Use for hypogonadism developing after 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 testicular hypogonadism
Essential facts and insights about Testicular Hypogonadism
Primary ICD-10-CM Codes for testicualr hypogonadism
Decision Criteria
clinical Criteria
- Testosterone levels below 300 ng/dL
documentation Criteria
- Documented elevated LH and FSH
Applicable To
- Primary testicular failure
Excludes
- Hypogonadism due to pituitary causes (E23.0)
Clinical Validation Requirements
- Serum testosterone <300 ng/dL on two separate morning tests
- Elevated LH and FSH levels
Code-Specific Risks
- Incorrect use for postprocedural cases
Coding Notes
- Ensure documentation includes specific lab values and etiology.
E23.0 - Hypopituitarism
Use when hypogonadism is secondary to pituitary dysfunction.
Applicable To
- Secondary hypogonadism due to pituitary causes
Excludes
- Primary testicular failure (E29.1)
Clinical Validation Requirements
- Low/normal LH and FSH levels
- MRI showing pituitary lesion
Coding Notes
Ensure MRI findings are documented.
E89.5 - Postprocedural testicular hypofunction
Use for hypogonadism developing after medical procedures.
Applicable To
- Hypogonadism following surgery or chemotherapy
Excludes
- Primary testicular failure (E29.1)
Clinical Validation Requirements
- Temporal relationship to surgery or chemotherapy
- Documented onset post-procedure
Coding Notes
Ensure documentation of procedure and timing.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Erectile dysfunction
N52.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Testicular 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: Inadequate differentiation between primary and secondary hypogonadism., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Include LH and FSH levels in documentation, Use standardized lab reports
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use E89.5 for hypogonadism following procedures.
Impact
Inadequate documentation of testosterone levels can trigger audits.
Mitigation Strategy
Ensure all lab values are documented with dates and times.
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 Testicular Hypogonadism, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Testicular Hypogonadism
Use these documentation templates to ensure complete and accurate documentation for Testicular Hypogonadism. These templates include all required elements for proper coding and billing.
Primary Hypogonadism Diagnosis
Specialty: EndocrinologyRequired Elements
- AM testosterone levels
- LH and FSH levels
- Etiology statement
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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