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ICD-10 Coding for Panhypopituitarism(E23.0, E89.3)

Complete ICD-10-CM coding and documentation guide for Panhypopituitarism. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

HypopituitarismPituitary insufficiency

Related ICD-10 Code Ranges

Complete code families applicable to Panhypopituitarism

E23.0-E23.2Primary Range

Disorders of the pituitary gland

This range includes codes for hypopituitarism, including panhypopituitarism and related disorders.

Postprocedural endocrine and metabolic disorders

This code is used for postprocedural hypopituitarism, indicating an iatrogenic cause.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
E23.0HypopituitarismUse when there is a non-iatrogenic cause of hypopituitarism with multiple hormone deficiencies.
  • Documented deficiencies in two or more pituitary hormones
  • Laboratory confirmation of hormone levels
E89.3Postprocedural hypopituitarismUse when hypopituitarism follows a surgical or radiation procedure.
  • History of pituitary surgery or radiation
  • Documented hormone deficiencies post-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 panhypopituitarism

Essential facts and insights about Panhypopituitarism

The ICD-10 code for panhypopituitarism is E23.0, used for non-iatrogenic cases with multiple hormone deficiencies.

Primary ICD-10-CM Codes for panhypopituitarism

Hypopituitarism
Billable Code

Decision Criteria

clinical Criteria

  • Presence of multiple pituitary hormone deficiencies

coding Criteria

  • Non-iatrogenic cause

Applicable To

  • Panhypopituitarism

Excludes

  • Postprocedural hypopituitarism (E89.3)

Clinical Validation Requirements

  • Documented deficiencies in two or more pituitary hormones
  • Laboratory confirmation of hormone levels

Code-Specific Risks

  • Incorrectly using for postprocedural cases

Coding Notes

  • Ensure documentation specifies the etiology and confirms hormone deficiencies.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Hypothyroidism, unspecified

E03.1
Use for concurrent hypothyroidism due to pituitary insufficiency.

Diabetes insipidus

E23.2
Use for concurrent diabetes insipidus post-procedure.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Testicular hypofunction

E29.1
Use E29.1 for primary testicular causes, not pituitary.

Hypopituitarism

E23.0
Use E23.0 for non-iatrogenic causes.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Panhypopituitarism to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E23.0.

Impact

Clinical: Inaccurate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Ensure lab results are included in documentation, Specify each hormone deficiency

Impact

Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Use E23.0 for pituitary causes and E29.1 for testicular causes.

Impact

Reimbursement: Claims may be denied due to lack of procedural linkage., Compliance: Failure to meet coding standards., Data Quality: Misrepresentation of clinical history.

Mitigation Strategy

Ensure documentation includes the specific procedure leading to hypopituitarism.

Impact

High risk of audit if unspecified codes are used without detailed documentation.

Mitigation Strategy

Document specific hormone deficiencies and etiology.

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 Panhypopituitarism, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Panhypopituitarism

Use these documentation templates to ensure complete and accurate documentation for Panhypopituitarism. These templates include all required elements for proper coding and billing.

Post-surgical panhypopituitarism

Specialty: Endocrinology

Required Elements

  • Etiology
  • Confirmed hormone deficiencies
  • Imaging findings
  • Replacement regimen

Example Documentation

- Etiology: Post-surgical - Confirmed Hormone Deficiencies: ACTH: AM cortisol 1.2 μg/dL - Imaging: MRI shows pituitary changes - Replacement Regimen: Hydrocortisone 20 mg AM/10 mg PM

Examples: Poor vs. Good Documentation

Poor Documentation Example
Panhypopituitarism managed with hormone replacement.
Good Documentation Example
Post-surgical panhypopituitarism with ACTH deficiency (AM cortisol 1.2 μg/dL), TSH deficiency (free T4 0.4 ng/dL).
Explanation
The good example specifies the etiology and confirms hormone deficiencies with lab results.

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