ICD-10 Coding for Hypotestosterone(E29.1, E23.0, E89.5)
Complete ICD-10-CM coding and documentation guide for Hypotestosterone. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypotestosterone
E29-E30Primary Range
Disorders of male genital organs
This range includes codes for testicular hypofunction and related disorders.
Hypofunction and other disorders of pituitary gland
Includes codes for hypopituitarism, which can cause secondary hypogonadism.
Postprocedural endocrine and metabolic complications and disorders
Includes codes for postprocedural testicular hypofunction.
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. |
|
| E23.0 | Hypopituitarism | Use for secondary hypogonadism with low/normal LH/FSH. |
|
| E89.5 | Postprocedural testicular hypofunction | Use for hypogonadism following surgical procedures. |
|
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 hypotestosterone
Essential facts and insights about Hypotestosterone
Primary ICD-10-CM Codes for hypotestosterone
Decision Criteria
clinical Criteria
- Elevated LH/FSH with low testosterone
coding Criteria
- Not postprocedural
Applicable To
- Primary hypogonadism
Excludes
- Postprocedural testicular hypofunction (E89.5)
Clinical Validation Requirements
- Two morning testosterone levels <300 ng/dL
- Elevated LH and FSH levels
Code-Specific Risks
- Incorrectly using for postprocedural cases
Coding Notes
- Ensure documentation includes specific lab results and symptoms.
E23.0 - Hypopituitarism
Use for secondary hypogonadism with low/normal LH/FSH.
Applicable To
- Secondary hypogonadism
Excludes
- Primary hypogonadism (E29.1)
Clinical Validation Requirements
- Two morning testosterone levels <300 ng/dL
- Low or normal LH and FSH levels
Coding Notes
Document pituitary etiology clearly.
E89.5 - Postprocedural testicular hypofunction
Use for hypogonadism following surgical procedures.
Applicable To
- Iatrogenic hypogonadism
Excludes
- Primary hypogonadism (E29.1)
Clinical Validation Requirements
- History of relevant surgical procedure
Coding Notes
Ensure procedure history is documented.
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 Hypotestosterone 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 primary vs secondary hypogonadism, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Include LH/FSH levels in all hypogonadism documentation
Impact
Reimbursement: Incorrect DRG assignment, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data
Mitigation Strategy
Use E89.5 for postprocedural hypogonadism.
Impact
Missing lab results can lead to audit flags.
Mitigation Strategy
Ensure all lab results are documented and accessible.
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 Hypotestosterone, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypotestosterone
Use these documentation templates to ensure complete and accurate documentation for Hypotestosterone. These templates include all required elements for proper coding and billing.
Primary Hypogonadism
Specialty: EndocrinologyRequired Elements
- Symptoms
- Lab results
- Physical exam findings
- Assessment
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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