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Home/Diagnosis/ICD-10 Coding for Hormonal Imbalance

ICD-10 Coding for Hormonal Imbalance

E28.39
N95.1

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

Also Known as:
Endocrine Disorder
Hormone Imbalance
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Key Information: ICD-10 Coding for Hormonal Imbalance

Essential facts and insights about ICD-10 Coding for Hormonal Imbalance

Use ICD-10 code E28.39 for other ovarian dysfunction, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Other ovarian dysfunction

Billable Code
E28.39
Billable

Diagnostic Criteria

clinical_criteria:
  • • FSH >40 mIU/mL
  • • Estradiol <20 pg/mL

Applicable To

  • • Primary ovarian insufficiency
  • • Hyperandrogenism

Important Notes

  • • Ensure lab results are included to support the diagnosis.

Menopausal and perimenopausal disorders

Billable Code
N95.1
Billable

Diagnostic Criteria

clinical_criteria:
  • • FSH >25 mIU/mL
  • • Absence of menses ≥12 months

Applicable To

  • • Natural menopause
  • • Perimenopausal symptoms

Important Notes

  • • Document absence of menses and elevated FSH levels.
Ancillary Codes

Additional codes that may be used with this diagnosis

R53.83

Fatigue

Use to document fatigue as a symptom of hormonal imbalance.

R23.2

Flushing

Use to document hot flashes associated with menopause.

Frequently Asked Questions

What is the ICD-10 code for hormonal imbalance?

The ICD-10 code for hormonal imbalance can vary based on the specific condition, such as E28.39 for ovarian dysfunction or N95.1 for menopausal disorders.

How do you code for menopausal symptoms?

Use ICD-10 code N95.1 for menopausal symptoms, ensuring lab confirmation of menopause with FSH levels and absence of menses.

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