ICD-10 Coding for Follicle-Stimulating Hormone(E28.3, N95.1)
Complete ICD-10-CM coding and documentation guide for Follicle-Stimulating Hormone. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Follicle-Stimulating Hormone
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E28.3 | Primary ovarian failure | Use when there is confirmed primary ovarian insufficiency with elevated FSH levels. |
|
| N95.1 | Menopausal and female climacteric states | Use for menopausal symptoms with confirmed lab results. |
|
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 FSH
Essential facts and insights about Follicle-Stimulating Hormone
Primary ICD-10-CM Codes for follicle-stimulating hormone
Decision Criteria
clinical Criteria
- FSH >40 IU/L with amenorrhea
Applicable To
- Premature ovarian failure
- Primary ovarian insufficiency
Excludes
- Postprocedural ovarian failure (E89.4)
Clinical Validation Requirements
- FSH >40 IU/L on two occasions
- Amenorrhea >4 months
Code-Specific Risks
- Misclassification if not confirmed with lab results
Coding Notes
- Ensure documentation of FSH levels and symptoms for accurate coding.
N95.1 - Menopausal and female climacteric states
Use for menopausal symptoms with confirmed lab results.
Applicable To
- Menopausal transition
- Vasomotor symptoms
Excludes
- Premature menopause (E28.3)
Clinical Validation Requirements
- Age ≥45
- FSH >25 IU/L
- 12 months amenorrhea
Coding Notes
Document menopausal symptoms and FSH levels for accurate coding.
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 Follicle-Stimulating Hormone to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E28.3.
Impact
Clinical: Leads to misdiagnosis or incorrect treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Include specific FSH values, Document related symptoms
Impact
Reimbursement: Denial of claims for non-covered infertility codes., Compliance: Non-compliance with Medi-Cal policies., Data Quality: Inaccurate data on patient conditions.
Mitigation Strategy
Use codes like E28.3 for ovarian failure instead.
Impact
Inadequate documentation of lab results and symptoms.
Mitigation Strategy
Implement standardized templates for documenting FSH testing.
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 Follicle-Stimulating Hormone, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Follicle-Stimulating Hormone
Use these documentation templates to ensure complete and accurate documentation for Follicle-Stimulating Hormone. These templates include all required elements for proper coding and billing.
Menopausal Symptoms Evaluation
Specialty: GynecologyRequired Elements
- Patient age
- FSH levels
- Menopausal symptoms
- Duration of amenorrhea
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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