ICD-10 Coding for Elevated DHEA(E28.1, C74.0)
Complete ICD-10-CM coding and documentation guide for Elevated DHEA. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Elevated DHEA
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E28.1 | Androgen excess | Use when elevated DHEA is due to androgen excess conditions like PCOS. |
|
| C74.0 | Malignant neoplasm of cortex of adrenal gland | Use when imaging confirms adrenal carcinoma. |
|
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 elevated DHEA
Essential facts and insights about Elevated DHEA
Primary ICD-10-CM Codes for elevated dhea
Decision Criteria
clinical Criteria
- Presence of hirsutism and DHEA-S >700 mcg/dL
Applicable To
- Polycystic ovarian syndrome (PCOS)
Excludes
- Congenital adrenal hyperplasia (E25.0)
Clinical Validation Requirements
- DHEA-S >700 mcg/dL
- Hirsutism or virilization symptoms
Code-Specific Risks
- Upcoding without documented symptoms
Coding Notes
- Ensure documentation of symptoms and lab results.
C74.0 - Malignant neoplasm of cortex of adrenal gland
Use when imaging confirms adrenal carcinoma.
Applicable To
- Adrenal carcinoma
Clinical Validation Requirements
- Imaging showing adrenal mass
- DHEA-S >1000 mcg/dL
Coding Notes
Sequence as primary when adrenal tumor is confirmed.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Elevated DHEA to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E28.1.
Impact
Clinical: Leads to misdiagnosis, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always include lab results in documentation
Impact
Reimbursement: May lead to denied claims, Compliance: Increases audit risk, Data Quality: Affects accuracy of patient records
Mitigation Strategy
Ensure symptoms like hirsutism are documented.
Impact
Inaccurate documentation of symptoms and lab results
Mitigation Strategy
Regular audits and training on documentation standards
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 Elevated DHEA, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Elevated DHEA
Use these documentation templates to ensure complete and accurate documentation for Elevated DHEA. These templates include all required elements for proper coding and billing.
PCOS with elevated DHEA
Specialty: EndocrinologyRequired Elements
- Subjective symptoms
- Objective lab results
- Assessment
- Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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