ICD-10 Coding for Estradiol Excess(E28.0, R89.1)
Complete ICD-10-CM coding and documentation guide for Estradiol Excess. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Estradiol Excess
E28-E29Primary Range
Ovarian and Testicular Dysfunction
This range includes codes for ovarian dysfunctions like estrogen excess and testicular dysfunctions relevant for estradiol issues.
Abnormal Findings on Examination of Other Body Fluids, Substances and Tissues, Without Diagnosis
This range includes codes for abnormal hormone levels without a specific diagnosis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E28.0 | Estrogen excess | Use for females with confirmed ovarian dysfunction and elevated estradiol levels. |
|
| R89.1 | Abnormal hormone level | Use when estradiol levels are abnormal but no specific endocrine disorder is diagnosed. |
|
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 estrogen excess
Essential facts and insights about Estradiol Excess
Primary ICD-10-CM Codes for estradiol
Decision Criteria
clinical Criteria
- Confirmed ovarian dysfunction with elevated estradiol levels
coding Criteria
- Patient is female
Applicable To
- Ovarian dysfunction with confirmed estrogen excess
Excludes
- Estrogen excess in males
Clinical Validation Requirements
- Serum estradiol levels >200 pg/mL in follicular phase
- Clinical symptoms of estrogen excess such as oligomenorrhea
Code-Specific Risks
- Incorrect use in male patients
Coding Notes
- Ensure documentation specifies gender and estradiol levels.
R89.1 - Abnormal hormone level
Use when estradiol levels are abnormal but no specific endocrine disorder is diagnosed.
Applicable To
- Abnormal estradiol levels without confirmed ovarian dysfunction
Clinical Validation Requirements
- Estradiol levels outside normal range without specific diagnosis
Coding Notes
Document specific hormone levels and any related symptoms.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Hormone replacement therapy
Z79.890Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Estradiol Excess to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E28.0.
Impact
Clinical: May lead to incorrect diagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Always document specific hormone levels., Include relevant clinical findings.
Impact
Reimbursement: Claims may be denied if E28.0 is used incorrectly., Compliance: Non-compliance with gender-specific coding guidelines., Data Quality: Inaccurate data on hormone disorders in males.
Mitigation Strategy
Use E29.1 or E34.9 for males with elevated estradiol.
Impact
Incorrect use of gender-specific codes like E28.0 for males.
Mitigation Strategy
Ensure gender is documented and codes are selected accordingly.
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 Estradiol Excess, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Estradiol Excess
Use these documentation templates to ensure complete and accurate documentation for Estradiol Excess. These templates include all required elements for proper coding and billing.
PCOS with Estrogen Excess
Specialty: EndocrinologyRequired Elements
- Patient symptoms
- Estradiol levels
- Ultrasound findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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