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ICD-10 Coding for Puberty Panel Test(E30.1, E30.0)

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

Also known as:

Pubertal AssessmentHormonal Evaluation for Puberty

Related ICD-10 Code Ranges

Complete code families applicable to Puberty Panel Test

E30-E30.9Primary Range

Disorders of puberty

This range includes codes for precocious and delayed puberty, which are primary conditions assessed in puberty panel testing.

Factors influencing health status and contact with health services

Includes codes for routine child health exams and screenings, relevant for ancillary coding.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
E30.1Precocious pubertyUse for patients with early onset of secondary sexual characteristics and confirmed hormonal findings.
  • LH >0.3 mIU/mL 3h post-GnRH
  • Bone age advancement >2 years
E30.0Delayed pubertyUse for patients with delayed onset of puberty beyond expected age ranges.
  • AM testosterone <30 ng/dL (males)
  • Estradiol <20 pg/mL (females)

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 Panel Test

The ICD-10 code for precocious puberty is E30.1, used for early onset of secondary sexual characteristics.

Primary ICD-10-CM Codes for puberty panel test

Precocious puberty
Billable Code

Decision Criteria

clinical Criteria

  • Presence of secondary sexual characteristics before age 8 in girls or 9 in boys.

Applicable To

  • Central precocious puberty

Excludes

  • Premature adrenarche

Clinical Validation Requirements

  • LH >0.3 mIU/mL 3h post-GnRH
  • Bone age advancement >2 years

Code-Specific Risks

  • Misclassification if bone age is not documented.

Coding Notes

  • Ensure Tanner staging and bone age are documented.

Ancillary Codes

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

Encounter for routine child health exam with abnormal findings

Z00.121
Use when abnormal findings are noted during routine exams.

Encounter for screening for other disorder

Z13.89
Use for targeted screening encounters.

Differential Codes

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

Adrenogenital disorder

E27.0
Distinguished by normal growth velocity and bone age.

Hypopituitarism

E23.0
Requires additional endocrine testing to confirm pituitary function.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Puberty Panel Test to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E30.1.

Impact

Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.

Mitigation Strategy

Ensure bone age is assessed and documented for all suspected cases.

Impact

Reimbursement: May lead to claim denials., Compliance: Non-compliance with pediatric coding guidelines., Data Quality: Inaccurate data representation for pediatric cases.

Mitigation Strategy

Ensure documentation specifies pediatric tests used.

Impact

Failure to document Tanner stages can lead to audit findings.

Mitigation Strategy

Implement mandatory Tanner stage documentation in all puberty assessments.

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

Documentation Templates for Puberty Panel Test

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

Endocrinology Consultation for Precocious Puberty

Specialty: Pediatric Endocrinology

Required Elements

  • Patient age and gender
  • Tanner staging
  • Growth velocity
  • Bone age results
  • Hormonal assay results

Example Documentation

7-year-old female with Tanner II breast development, growth velocity 8 cm/yr, bone age 9.5 years. LH/FSH, estradiol, and bone age X-ray ordered.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Early puberty suspected, labs ordered.
Good Documentation Example
Female age 7y6m with Tanner II breast development, growth velocity 8 cm/yr (>95th %ile), bone age 9.5 years. Ordered LH/FSH, estradiol, and bone age X-ray.
Explanation
The good example provides specific clinical findings and ordered tests, supporting the diagnosis.

Need help with ICD-10 coding for Puberty Panel Test? Ask your questions below.

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