ICD-10 Coding for Testosterone Screening(E29.1, E23.0, E89.5)
Complete ICD-10-CM coding and documentation guide for Testosterone Screening. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Testosterone Screening
E29-E30Primary Range
Disorders of the male genital organs
This range includes codes for testicular dysfunction and hypogonadism, which are directly related to testosterone deficiency.
Hypofunction and other disorders of the pituitary gland
Includes secondary hypogonadism due to pituitary disorders.
Postprocedural endocrine and metabolic complications and disorders
Covers post-procedural hypogonadism, such as after orchiectomy.
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 primary hypogonadism is confirmed by lab tests and clinical symptoms. |
|
| E23.0 | Hypopituitarism | Use when hypogonadism is secondary to pituitary dysfunction. |
|
| E89.5 | Postprocedural hypogonadism | Use when hypogonadism occurs after a surgical procedure like orchiectomy. |
|
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 screening
Essential facts and insights about Testosterone Screening
Primary ICD-10-CM Codes for testosterone screening
Decision Criteria
clinical Criteria
- Presence of symptoms and low testosterone levels
documentation Criteria
- Documented exclusion of secondary causes
Applicable To
- Primary hypogonadism
Excludes
- Secondary hypogonadism (E23.0)
Clinical Validation Requirements
- Two morning testosterone levels <300 ng/dL
- Symptoms such as reduced libido or fatigue
Code-Specific Risks
- Misclassification if secondary causes are not ruled out
Coding Notes
- Ensure documentation of both lab results and symptoms.
E23.0 - Hypopituitarism
Use when hypogonadism is secondary to pituitary dysfunction.
Applicable To
- Secondary hypogonadism
Excludes
- Primary hypogonadism (E29.1)
Clinical Validation Requirements
- MRI confirmation of pituitary disorder
- Low LH and FSH levels
Coding Notes
Ensure MRI and hormonal assay results are documented.
E89.5 - Postprocedural hypogonadism
Use when hypogonadism occurs after a surgical procedure like orchiectomy.
Applicable To
- Hypogonadism following surgical procedures
Clinical Validation Requirements
- History of relevant surgical procedure
- Low testosterone levels post-surgery
Coding Notes
Document surgical history and subsequent testosterone levels.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Abnormal findings in semen analysis
R86.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Testosterone Screening 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 or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Thoroughly document all patient-reported symptoms., Link symptoms to lab results in the medical record.
Impact
Reimbursement: May lead to claim denials due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces accuracy of health data.
Mitigation Strategy
Use specific codes like E29.1 or E23.0 based on clinical findings.
Impact
Inadequate documentation of lab results and symptoms.
Mitigation Strategy
Ensure all lab results and symptoms are clearly documented and linked.
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 Screening, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Testosterone Screening
Use these documentation templates to ensure complete and accurate documentation for Testosterone Screening. These templates include all required elements for proper coding and billing.
Primary hypogonadism diagnosis
Specialty: EndocrinologyRequired Elements
- Patient history
- Physical exam findings
- Lab results
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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