Hypogonadism is a medical condition where the body is not producing enough hormones like testosterone in men or estrogen in women. The ICD 10 code for hypogonadism includes E29.1 for testicular hypofunction in males and E28.9 for ovarian dysfunction in females.
Primary hypogonadism is caused by an abnormality in the gonads (testes or ovaries). Similarly, additional codes such as E23.0 (hypopituitarism), E23.1 (Sheehan’s syndrome), or E23.2 (other pituitary disorders) are also used when the cause is due to the pituitary gland or hypothalamus.
Hypergonadotropic Hypogonadism ICD-10
A medical condition known as hypogonadotropic hypogonadism causes improper functioning of testicular glands in men and ovarian glands in women. High levels of LH and FSH hormones leave the brain to activate the glands, but the glands fail to respond normally.
In addition, the medical community uses the ICD 10 code for hypogonadism E29.1 to identify male testicular hypofunction, while E28.39 represents other ovarian dysfunction in females. The documentation system includes specific codes that enable physicians and billers to correctly record and manage the condition in medical documentation.
Central Hypogonadism ICD 10
When the hypothalamus or pituitary cannot make enough gonadotropins, the body produces less hormones in secondary hypogonadism. The condition develops from different sources, such as tumours of the pituitary gland, hypothalamic issues, or medicine side effects.
Additionally, these codes ensure correct medical and billing documentation of the condition. The condition starts in the pituitary gland, unlike primary hypogonadism, which develops from testicular or ovarian problems.
Types Of ICD 10 Code for Hypogonadism
1. Primary Hypogonadism
Primary hypogonadism begins inside the male testes or female ovaries, according to ICD 10 classification E23.0. The condition affects the gonads because they cannot make testosterone in men or estrogen in women when the pituitary gland sends proper signals. The problem develops because of genetic conditions, injuries, and diseases that damage the gonads directly.
2. Secondary Hypogonadism
The pituitary gland or hypothalamus develops secondary hypogonadism by failing to communicate with the gonads to produce hormones. The gonads need signals from a healthy pituitary gland to make hormones, but these signals fail when the gland gets damaged by tumors or Sheehan’s syndrome. The medical community uses E23.1 to classify Sheehan’s syndrome cases while labeling other pituitary conditions as E23.2.
3. Hypogonadism Unspecified
Healthcare providers use the ICD-10 code E29.1 for testicular hypofunction or unspecified hypogonadism in cases where they diagnose hypogonadism but do not find a specific cause. They use this category when they know the condition of reduced or absent gonadal function, but they do not know or specify the cause in the documentation.
Steps Involve in Hypogonadism ICD 10 Coding
Step 1: Review the Clinical Documentation
The initial step in coding for hypogonadism in ICD-10 is to thoroughly study an individual’s clinical paperwork. This includes assessing physician notes, lab results, imaging studies, and present previous diagnoses. The nature and cause of hypogonadism can be properly evaluated by evaluating these documents.
Step 2: Type of Hypogonadism
The condition known as primary hypogonadism occurs when the gonads do not produce enough hormones despite receiving the proper signal. On the other side, pituitary or hypothalamic dysfunction results in secondary hypogonadism.
Step 3: Assign the Appropriate ICD-10 Code
Once the healthcare provider ascertains the type of hypogonadism, they should select the applicable ICD-10 code for the condition. The provider uses the code E23.0 for primary hypogonadism. The provider uses E23.1 (Sheehan’s syndrome) or E23.2 (other disorders of the pituitary gland) for secondary hypogonadism due to pituitary disorders. For testicular issues, the provider uses the code E29.1 if the documentation does not specify.
Step 4: Check for Associated Conditions or Etiology
After this, however, the coder should look through the condition to see if any possible underlying cause or conditions could be causing the condition otherwise. These associated diagnoses should be coded separately to give a complete picture of the patient’s condition and to support proper reimbursement and treatment planning.
Step 5: Validate Code Accuracy with Coding Guidelines
Before finalizing the coding, the team should compare the selected codes to the official ICD-10-CM guidelines and any payer-specific requirements. This ensures that the coding is accurate, up-to-date, and in compliance with medical billing regulations.
Step 6: Submit the Final Codes
The final step is to validate all selected codes and then submit the codes through the billing software or electronic health record system. In case of an insurance audit or claim review, the codes must be supported by the documentation.
Male Hypogonadism ICD 10 Code
A disorder known as male hypogonadism occurs when a man’s body produces insufficient amounts of testosterone, the hormone that supports male growth and function. Moreover, there are two reasons why this can happen: problems in the testicles (primary hypogonadism) and the brain not sending the right signals to the testicles (secondary hypogonadism).
Furthermore, low energy, mood changes, and trouble gaining muscle or growing body hair are some possible symptoms. Low testosterone problems with the brain, such as the pituitary gland not working, and doctors will also use codes such as E23.0 to E23.2.
ICD-10 Codes for Unspecified Hypogonadism
Unspecified hypogonadism is a person who has low levels of hormones such as testosterone in men or estrogen in women, but the cause is unknown. Therefore, the doctor knows there is a problem with one of the hormones but isn’t sure if it’s coming from the glands (such as the testicles or ovaries) or the brain. This condition can make people feel tired and have mood swings.
For nonspecific hypogonadism in males, the ICD-10 classification is E29, which is testicular hypofunction. In women, the code is E28.9, ovarian dysfunction, unspecified. These codes are used when you know at least one hormone is involved with a problem, and the doctor doesn’t know what the problem is. Hence, these codes help to keep medical records accurate and ensure that the condition is billed to insurance correctly.
End Note
The ICD 10 code for hypogonadism helps doctors and medical staff document and treat the condition. For example, E29.1 is used for testicular hypofunction in males, and E28.39 is for ovarian failure in females. If the issue is due to problems in the brain’s control centers (like the pituitary gland), codes like E23.0 for hypopituitarism.
Likewise, these codes are important for accurate diagnosis and treatment. They also help in understanding whether the problem is with the glands themselves (primary hypogonadism) or with the brain’s signals (secondary hypogonadism). Are you still searching for accurate billing and error-free coding services? Look no further; you may reach out to MAVA Care. We’ll handle all your tasks, such as billing, coding, credentialing, eligibility verification and AR follow-up. Moreover, you can schedule a free demo to get more information about our working procedure for medical billing.
