ICD-10 Coding for Puberty Concerns(E30.1, E30.0, Z00.3)
Complete ICD-10-CM coding and documentation guide for Puberty Concerns. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Puberty Concerns
E30-E34Primary Range
Disorders of puberty and other endocrine glands
This range includes codes for various disorders of puberty, including precocious and delayed puberty.
Factors influencing health status and contact with health services
Includes codes for routine health examinations, which may be relevant for puberty assessments.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E30.1 | Precocious puberty | Use for confirmed cases of central precocious puberty with documented hormonal and physical findings. |
|
| E30.0 | Delayed puberty | Use for cases where puberty onset is significantly delayed beyond normal age ranges. |
|
| Z00.3 | Encounter for examination for adolescent development state | Use for routine health examinations related to puberty without any abnormal findings. |
|
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 precocious puberty
Essential facts and insights about Puberty Concerns
Primary ICD-10-CM Codes for puberty concerns
Decision Criteria
clinical Criteria
- Breast development/Tanner stage ≥2 prior to age 8 in females
- Testicular volume ≥4 mL prior to age 9 in males
Applicable To
- Central precocious puberty
Excludes
- Premature adrenarche (E27.0)
Clinical Validation Requirements
- Bone age advancement ≥2 years
- Basal LH ≥0.3 mIU/mL
- GnRH stimulation test results
Code-Specific Risks
- Incorrect age documentation
- Missing LH stimulation test results
Coding Notes
- Ensure age and Tanner stage are documented accurately.
E30.0 - Delayed puberty
Use for cases where puberty onset is significantly delayed beyond normal age ranges.
Applicable To
- Constitutional delay of growth and puberty
Excludes
- Hypogonadism (E29.1)
Clinical Validation Requirements
- No breast development by age 13 in females
- No testicular enlargement by age 14 in males
- Bone age delay ≥2 years
Coding Notes
Document bone age and hormone levels to support diagnosis.
Z00.3 - Encounter for examination for adolescent development state
Use for routine health examinations related to puberty without any abnormal findings.
Applicable To
- Routine adolescent developmental exam
Clinical Validation Requirements
- Routine pubertal assessment without abnormal findings
Coding Notes
Ensure documentation specifies routine examination.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for examination for adolescent development state
Z00.3Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Puberty Concerns to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E30.1.
Impact
Clinical: Inaccurate assessment of pubertal progression., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Use specific Tanner stage terminology, Document age of onset for each stage
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Code R92.8 if non-progressive and no LH elevation.
Impact
Reimbursement: Potential claim rejections., Compliance: Failure to meet documentation standards., Data Quality: Misleading clinical records.
Mitigation Strategy
Query provider for bone age delay documentation.
Impact
Incorrect age documentation for puberty stages.
Mitigation Strategy
Verify age and Tanner stage at each visit.
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 Puberty Concerns, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Puberty Concerns
Use these documentation templates to ensure complete and accurate documentation for Puberty Concerns. These templates include all required elements for proper coding and billing.
Precocious Puberty Evaluation
Specialty: EndocrinologyRequired Elements
- Tanner stage documentation
- Bone age results
- LH/FSH levels
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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