ICD-10 Coding for Low Testosterone in Males(E29.1, E23.0, E89.5)
Complete ICD-10-CM coding and documentation guide for Low Testosterone in Males. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Low Testosterone in Males
E29-E30Primary Range
Disorders of male genital organs
Includes primary codes for testicular hypofunction and related conditions.
Hypofunction and other disorders of the pituitary gland
Includes codes for secondary hypogonadism due to pituitary disorders.
Postprocedural endocrine and metabolic complications and disorders
Includes codes for postprocedural hypogonadism.
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 testicular hypofunction with documented low testosterone levels and symptoms. |
|
| E23.0 | Hypopituitarism | Use when hypogonadism is secondary to pituitary dysfunction. |
|
| E89.5 | Postprocedural hypogonadism | Use when hypogonadism is a result of a surgical procedure. |
|
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 low testosterone in males
Essential facts and insights about Low Testosterone in Males
Primary ICD-10-CM Codes for low testosterone in male
Decision Criteria
clinical Criteria
- Testosterone levels <300 ng/dL on two separate mornings.
documentation Criteria
- Document symptoms such as fatigue and erectile dysfunction.
Applicable To
- Primary testicular failure
- Low testosterone due to testicular dysfunction
Clinical Validation Requirements
- Two morning testosterone levels <300 ng/dL
- Symptoms such as erectile dysfunction, fatigue
Code-Specific Risks
- Ensure documentation of both lab results and symptoms to avoid denials.
Coding Notes
- Ensure testosterone levels are measured in the morning and documented with symptoms.
E23.0 - Hypopituitarism
Use when hypogonadism is secondary to pituitary dysfunction.
Applicable To
- Secondary hypogonadism due to pituitary dysfunction
Excludes
- Primary testicular failure (E29.1)
Clinical Validation Requirements
- Low testosterone with low/normal LH and FSH levels
Coding Notes
Document pituitary dysfunction and related lab results.
E89.5 - Postprocedural hypogonadism
Use when hypogonadism is a result of a surgical procedure.
Applicable To
- Hypogonadism following surgical procedures
Excludes
- Primary testicular failure (E29.1)
Clinical Validation Requirements
- Documented history of surgical procedure leading to hypogonadism
Coding Notes
Document the procedure and its link to hypogonadism.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other fatigue
R53.83Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Low Testosterone in Males to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E29.1.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Include a detailed symptom history., Ensure lab results are clearly documented.
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on hypogonadism prevalence.
Mitigation Strategy
Use E29.1 with R54 for senile hypogonadism.
Impact
Inadequate documentation of lab results can lead to audits.
Mitigation Strategy
Ensure all lab results are documented with times and dates.
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 Low Testosterone in Males, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Low Testosterone in Males
Use these documentation templates to ensure complete and accurate documentation for Low Testosterone in Males. These templates include all required elements for proper coding and billing.
Initial diagnosis of low testosterone
Specialty: EndocrinologyRequired Elements
- Patient history
- Morning testosterone levels
- Symptoms
- Physical exam findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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