ICD-10 Coding for Low Testosterone(E29.1, E23.0, E89.5)
Complete ICD-10-CM coding and documentation guide for Low Testosterone. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Low Testosterone
E29-E30Primary Range
Disorders of male genital organs
This range includes codes for testicular dysfunction and related conditions.
Hypofunction and other disorders of the pituitary gland
Includes secondary hypogonadism due to pituitary dysfunction.
Postprocedural endocrine and metabolic complications and disorders
Includes postprocedural hypogonadism cases.
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 confirmed by lab tests. |
|
| E23.0 | Hypopituitarism | Use for secondary hypogonadism due to pituitary issues. |
|
| E89.5 | Postprocedural testicular hypofunction | Use for hypogonadism following surgical or radiation 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 low testosterone
Essential facts and insights about Low Testosterone
Primary ICD-10-CM Codes for low testosterone
Decision Criteria
clinical Criteria
- Low testosterone levels with elevated LH/FSH
Applicable To
- Primary hypogonadism
Excludes
- Hypopituitarism (E23.0)
Clinical Validation Requirements
- Two morning testosterone levels below 300 ng/dL
- Elevated LH/FSH levels
Code-Specific Risks
- Denials if labs are not documented
Coding Notes
- Ensure lab results are documented to support the diagnosis.
E23.0 - Hypopituitarism
Use for secondary hypogonadism due to pituitary issues.
Applicable To
- Secondary hypogonadism
Excludes
- Primary hypogonadism (E29.1)
Clinical Validation Requirements
- Low testosterone with low/normal LH/FSH
- MRI-confirmed pituitary lesion
Coding Notes
Document pituitary findings to support coding.
E89.5 - Postprocedural testicular hypofunction
Use for hypogonadism following surgical or radiation procedures.
Applicable To
- Hypogonadism post-orchiectomy
Clinical Validation Requirements
- History of orchiectomy or radiation
- Low testosterone levels
Coding Notes
Link to the procedure code for complete documentation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Erectile dysfunction
N52.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Low Testosterone to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E29.1.
Impact
Clinical: Incomplete clinical picture., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Include a symptom checklist in patient evaluations., Train staff on documentation standards.
Impact
Reimbursement: Claims may be denied., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Ensure two morning testosterone levels are documented.
Impact
Missing or incomplete lab results can trigger audits.
Mitigation Strategy
Implement a checklist for lab documentation.
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Low Testosterone
Use these documentation templates to ensure complete and accurate documentation for Low Testosterone. These templates include all required elements for proper coding and billing.
Primary hypogonadism diagnosis
Specialty: EndocrinologyRequired Elements
- Morning testosterone levels
- LH/FSH levels
- Symptoms of hypogonadism
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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