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Home/Diagnosis/ICD-10 Coding for Estrogen Therapy

ICD-10 Coding for Estrogen Therapy

Z79.810
Z79.890

Complete ICD-10-CM coding and documentation guide for icd-10 coding for estrogen therapy includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Hormone Replacement Therapy
Estrogen Replacement Therapy
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Key Information: ICD-10 Coding for Estrogen Therapy

Essential facts and insights about ICD-10 Coding for Estrogen Therapy

Use ICD-10 code Z79.810 for long term (current) use of selective estrogen receptor modulators (serms), ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Long term (current) use of selective estrogen receptor modulators (SERMs)

Billable Code
Z79.810
Billable

Diagnostic Criteria

  • • Patient is on SERM for breast cancer prevention.

Applicable To

  • • Tamoxifen
  • • Raloxifene

Important Notes

  • • Ensure documentation specifies the SERM and its indication.

Hormone replacement therapy

Billable Code
Z79.890
Billable

Applicable To

  • • Systemic hormone replacement therapy

Important Notes

  • • Document the formulation and dose of hormone therapy.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z80.3

Family history of malignant neoplasm of breast

Use to provide context for breast cancer risk.

N95.1

Menopausal and female climacteric states

Use to specify menopausal symptoms.

Frequently Asked Questions

What is the ICD-10 code for estrogen therapy?

The ICD-10 code for estrogen therapy varies: Z79.810 for SERMs, Z79.890 for hormone replacement therapy, and Z79.899 for other estrogen therapies.

How do you code adverse effects of estrogen?

Adverse effects of estrogen are coded with T38.5X5A for initial encounters related to adverse effects.

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