ICD-10 Coding for Elevated Testosterone(E28.1, E25.0, E34.8)
Complete ICD-10-CM coding and documentation guide for Elevated Testosterone. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Elevated Testosterone
E28-E29Primary Range
Ovarian dysfunction and testicular dysfunction
This range includes codes for conditions related to hormonal imbalances, including elevated testosterone.
Adrenogenital disorders
This range includes conditions like congenital adrenal hyperplasia, which can cause elevated testosterone.
Other endocrine disorders
This range includes miscellaneous endocrine disorders, which can include elevated testosterone in men.
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 there is documented evidence of androgen excess in women with supporting symptoms. |
|
| E25.0 | Congenital adrenal hyperplasia | Use when CAH is confirmed by lab and genetic testing. |
|
| E34.8 | Other specified endocrine disorders | Use for elevated testosterone in men when no specific cause is identified. |
|
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 testosterone
Essential facts and insights about Elevated Testosterone
Primary ICD-10-CM Codes for elevated testosterone
Decision Criteria
clinical Criteria
- Presence of symptoms like hirsutism and elevated testosterone levels.
Applicable To
- Hyperandrogenism
- Elevated testosterone in women
Clinical Validation Requirements
- Total testosterone >80 ng/dL
- Symptoms such as hirsutism, acne, menstrual irregularities
- Exclusion of adrenal or tumor causes
Code-Specific Risks
- Misuse without lab confirmation
- Confusion with other endocrine disorders
Coding Notes
- Ensure documentation includes lab results and symptomatology.
E25.0 - Congenital adrenal hyperplasia
Use when CAH is confirmed by lab and genetic testing.
Applicable To
- Adrenogenital syndrome
Excludes
- Androgen excess (E28.1)
Clinical Validation Requirements
- 17-OH progesterone >200 ng/dL
- Genetic testing confirmation
Coding Notes
Ensure genetic testing is documented.
E34.8 - Other specified endocrine disorders
Use for elevated testosterone in men when no specific cause is identified.
Applicable To
- Endocrine disorders not elsewhere classified
Clinical Validation Requirements
- Testosterone >950 ng/dL in men with symptoms
Coding Notes
Document exclusion of anabolic steroid use.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Polycystic ovarian syndrome
E28.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Elevated Testosterone to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E28.1.
Impact
Clinical: Inaccurate diagnosis., Regulatory: Potential audit issues., Financial: Claim denials.
Mitigation Strategy
Ensure all symptoms are documented., Cross-check with lab results.
Impact
Reimbursement: May lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure testosterone levels are documented and meet criteria.
Impact
Inadequate documentation of symptoms related to elevated testosterone.
Mitigation Strategy
Ensure comprehensive documentation of all relevant symptoms.
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 Testosterone, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Elevated Testosterone
Use these documentation templates to ensure complete and accurate documentation for Elevated Testosterone. These templates include all required elements for proper coding and billing.
Female with suspected hyperandrogenism
Specialty: EndocrinologyRequired Elements
- Patient history
- Physical exam findings
- Lab results
- Imaging reports
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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