ICD-10 Coding for Testosterone Deficiency(E29.1, E23.0, E89.5)
Complete ICD-10-CM coding and documentation guide for Testosterone Deficiency. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Testosterone Deficiency
E29-E30Primary Range
Disorders of male genital organs
This range includes codes for primary and secondary hypogonadism, which are directly related to testosterone deficiency.
Hypofunction and other disorders of the pituitary gland
This range includes secondary hypogonadism due to pituitary dysfunction, relevant for differentiating causes of testosterone deficiency.
Postprocedural endocrine and metabolic complications and disorders
This range includes postprocedural hypogonadism, which can result in testosterone deficiency following surgery.
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 confirmed low testosterone and elevated gonadotropins. |
|
| E23.0 | Hypopituitarism | Use for secondary hypogonadism with pituitary origin. |
|
| E89.5 | Postprocedural testicular hypofunction | Use for hypogonadism resulting from surgical 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 testosterone deficiency
Essential facts and insights about Testosterone Deficiency
Primary ICD-10-CM Codes for testosterone deficiency
Decision Criteria
clinical Criteria
- Presence of symptoms like ED, fatigue, and low libido with lab confirmation
documentation Criteria
- Two separate morning testosterone tests below 300 ng/dL
Applicable To
- Primary hypogonadism
Excludes
- Postprocedural hypogonadism (E89.5)
Clinical Validation Requirements
- Two morning testosterone levels <300 ng/dL
- Elevated LH and FSH levels
Code-Specific Risks
- Misclassification if postprocedural causes are not excluded
Coding Notes
- Ensure documentation of lab results and symptoms to support the diagnosis.
E23.0 - Hypopituitarism
Use for secondary hypogonadism with pituitary origin.
Applicable To
- Secondary hypogonadism
Excludes
- Primary hypogonadism (E29.1)
Clinical Validation Requirements
- Two morning testosterone levels <300 ng/dL
- Low or normal LH and FSH levels
Coding Notes
Document pituitary imaging findings if applicable.
E89.5 - Postprocedural testicular hypofunction
Use for hypogonadism resulting from surgical procedures.
Applicable To
- Hypogonadism following surgery
Excludes
- Primary hypogonadism (E29.1)
Clinical Validation Requirements
- Documentation of recent surgical procedure
- Low testosterone levels post-surgery
Coding Notes
Ensure linkage to the surgical procedure in documentation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long term (current) use of testosterone
Z79.890Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Testosterone Deficiency 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 basis for diagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Always include lab results in documentation., Verify that tests meet clinical guidelines.
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 postprocedural cases with documentation of the procedure.
Impact
Reimbursement: Claims may be denied due to insufficient documentation., Compliance: Non-compliance with clinical guidelines., Data Quality: Incomplete clinical data.
Mitigation Strategy
Ensure documentation includes two separate morning testosterone levels.
Impact
Inadequate documentation of ongoing therapy.
Mitigation Strategy
Regularly update patient records with therapy details.
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 Testosterone Deficiency, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Testosterone Deficiency
Use these documentation templates to ensure complete and accurate documentation for Testosterone Deficiency. These templates include all required elements for proper coding and billing.
Urology Progress Note
Specialty: UrologyRequired Elements
- Patient symptoms
- Testosterone levels
- LH and FSH levels
- Diagnosis and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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