ICD-10 Coding for Hypogonadism in Male(E29.1, E23.0)
Complete ICD-10-CM coding and documentation guide for Hypogonadism in Male. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypogonadism in Male
E29-E29.9Primary Range
Disorders of male genital organs
This range includes codes for various forms of male hypogonadism, including primary and secondary types.
Hypofunction and other disorders of the pituitary gland
This range includes codes for secondary hypogonadism due to pituitary or hypothalamic dysfunction.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E29.1 | Testicular hypofunction | Use for primary hypogonadism with elevated LH/FSH levels. |
|
| E23.0 | Hypopituitarism | Use for secondary hypogonadism with low/normal LH/FSH levels. |
|
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 male hypogonadism
Essential facts and insights about Hypogonadism in Male
Primary ICD-10-CM Codes for hypogonadism in male
Decision Criteria
clinical Criteria
- Elevated LH/FSH with low testosterone
documentation Criteria
- Two separate morning testosterone tests
Applicable To
- Primary testicular failure
- Hypergonadotropic hypogonadism
Excludes
- Postprocedural hypogonadism (E89.5)
Clinical Validation Requirements
- Low testosterone levels on two separate morning tests
- Elevated LH and FSH levels
- Small testicular volume
Code-Specific Risks
- Incorrect use for secondary hypogonadism
- Failure to document elevated LH/FSH
Coding Notes
- Ensure documentation includes specific lab results and clinical findings.
E23.0 - Hypopituitarism
Use for secondary hypogonadism with low/normal LH/FSH levels.
Applicable To
- Secondary hypogonadism
- Hypogonadotropic hypogonadism
Excludes
- Primary testicular failure (E29.1)
Clinical Validation Requirements
- Low testosterone levels on two separate morning tests
- Low/normal LH and FSH levels
- MRI evidence of pituitary lesion
Coding Notes
Ensure documentation includes imaging results and clinical findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Personal history of resolved hypogonadism (male)
Z87.438Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hypogonadism in Male to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E29.1.
Impact
Clinical: Inaccurate diagnosis of hypogonadism type., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Include LH/FSH levels in all hypogonadism documentation, Use standardized templates
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Differentiate based on LH/FSH levels and etiology.
Impact
Inadequate documentation of testosterone levels before TRT.
Mitigation Strategy
Ensure two low testosterone levels are documented before initiating TRT.
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 Hypogonadism in Male, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypogonadism in Male
Use these documentation templates to ensure complete and accurate documentation for Hypogonadism in Male. These templates include all required elements for proper coding and billing.
Diagnosis of primary hypogonadism
Specialty: EndocrinologyRequired Elements
- Patient symptoms
- Testosterone levels
- LH/FSH levels
- Testicular volume
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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