ICD-10 Coding for Testicular Hypofunction(E29.1, E23.0, E89.5)
Complete ICD-10-CM coding and documentation guide for Testicular Hypofunction. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Testicular Hypofunction
E29-E30Primary Range
Disorders of male genital organs
This range includes conditions related to male hypogonadism and testicular dysfunction.
Hypofunction and other disorders of the pituitary gland
Includes secondary hypogonadism due to pituitary dysfunction.
Postprocedural endocrine and metabolic complications and disorders
Covers hypogonadism resulting from medical interventions.
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 failure with confirmed low testosterone and elevated LH/FSH. |
|
| E23.0 | Hypopituitarism | Use when hypogonadism is secondary to pituitary dysfunction. |
|
| E89.5 | Postprocedural testicular hypofunction | Use for hypogonadism resulting from medical interventions. |
|
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 testicular hypofunction
Essential facts and insights about Testicular Hypofunction
Primary ICD-10-CM Codes for testicular hypofunction
Decision Criteria
clinical Criteria
- Elevated LH/FSH with low testosterone
documentation Criteria
- Two AM testosterone levels documented
Applicable To
- Primary testicular failure
- Hypogonadism due to testicular dysfunction
Clinical Validation Requirements
- Two morning testosterone levels <300 ng/dL
- Elevated LH and FSH levels
- Testicular volume <15 mL
Code-Specific Risks
- Incorrectly coding age-related testosterone decline
- Missing documentation of lab values
Coding Notes
- Ensure documentation includes specific lab results and 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/normal LH and FSH levels
- Documented pituitary disorder
Coding Notes
Document pituitary disorder clearly.
E89.5 - Postprocedural testicular hypofunction
Use for hypogonadism resulting from medical interventions.
Applicable To
- Hypogonadism following medical procedures
Excludes
- Primary testicular failure (E29.1)
Clinical Validation Requirements
- Documented history of relevant medical procedure
Coding Notes
Ensure procedure is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Erectile dysfunction due to testicular hypofunction
N52.1Differential 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 Testicular Hypofunction 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 misdiagnosis., Regulatory: Fails to meet documentation standards., Financial: Claims may be denied due to insufficient documentation.
Mitigation Strategy
Use specific lab values, Document symptoms clearly
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate data on hypogonadism prevalence.
Mitigation Strategy
Use R54 for age-related changes instead.
Impact
Reimbursement: Claims may be rejected without proper documentation., Compliance: Fails to meet coding standards., Data Quality: Leads to incomplete patient records.
Mitigation Strategy
Ensure all lab results are documented with dates and times.
Impact
Claims without documented lab results are at high risk for audits.
Mitigation Strategy
Ensure all lab results are included in the patient's chart.
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 Testicular Hypofunction, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Testicular Hypofunction
Use these documentation templates to ensure complete and accurate documentation for Testicular Hypofunction. These templates include all required elements for proper coding and billing.
Urology Clinic H&P
Specialty: UrologyRequired Elements
- Decreased morning erections
- Fatigue
- Testicular volume
- AM total testosterone
- LH and FSH levels
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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