ICD-10 Coding for Hirsutism(L68.0, E28.2)
Complete ICD-10-CM coding and documentation guide for Hirsutism. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hirsutism
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| L68.0 | Hirsutism | Use when hirsutism is present without a confirmed underlying condition. |
|
| E28.2 | Polycystic ovarian syndrome | Use when hirsutism is due to PCOS. |
|
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 hirsutism
Essential facts and insights about Hirsutism
Primary ICD-10-CM Codes for hirsutism
Decision Criteria
clinical Criteria
- Ferriman-Gallwey score ≥8
documentation Criteria
- Specific anatomical locations of hair growth
Applicable To
- Male-pattern terminal hair growth
Excludes
- Hypertrichosis (L68.9)
Clinical Validation Requirements
- Ferriman-Gallwey score ≥8
- Documented male-pattern hair growth
Code-Specific Risks
- Risk of using unspecified codes
- Failure to document specific hair growth patterns
Coding Notes
- Ensure documentation specifies the pattern and location of hair growth.
E28.2 - Polycystic ovarian syndrome
Use when hirsutism is due to PCOS.
Applicable To
- PCOS
Excludes
- Other ovarian dysfunctions
Clinical Validation Requirements
- Oligomenorrhea
- Hyperandrogenism
- Polycystic ovaries on ultrasound
Coding Notes
PCOS should be coded first when it is the cause of hirsutism.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Abnormal results of endocrine function studies
R94.6Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hirsutism to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code L68.0.
Impact
Clinical: Lack of specificity in patient records., Regulatory: Potential non-compliance with coding standards., Financial: Risk of denied claims.
Mitigation Strategy
Ensure detailed documentation, Use specific codes when possible
Impact
Reimbursement: May lead to incorrect reimbursement rates., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure the underlying condition is coded first if known.
Impact
Failure to code the underlying condition first.
Mitigation Strategy
Educate coding staff on proper sequencing rules.
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 Hirsutism, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hirsutism
Use these documentation templates to ensure complete and accurate documentation for Hirsutism. These templates include all required elements for proper coding and billing.
Endocrinology consultation for hirsutism
Specialty: EndocrinologyRequired Elements
- Patient history
- Ferriman-Gallwey score
- Lab results
- Imaging studies
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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