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Home/Diagnosis/ICD-10 Coding for Premature Ovarian Failure

ICD-10 Coding for Premature Ovarian Failure

E28.3
E28.31
E28.39

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

Also Known as:
Primary Ovarian Insufficiency
Premature Menopause
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Key Information: ICD-10 Coding for Premature Ovarian Failure

Essential facts and insights about ICD-10 Coding for Premature Ovarian Failure

Use ICD-10 code E28.3 for primary ovarian failure, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Primary ovarian failure

Non-Billable
E28.3
Non-Billable

Diagnostic Criteria

clinical:
  • • FSH >25 IU/L on two occasions at least 4 weeks apart
  • • Exclusion of iatrogenic causes
coding:
  • • Avoid using with Turner syndrome

Applicable To

  • • Primary ovarian insufficiency

Important Notes

  • • Ensure documentation of FSH levels and exclusion of other causes.

Premature menopause

Non-Billable
E28.31
Non-Billable

Diagnostic Criteria

clinical:
  • • Cessation of menstruation before age 40 without known cause

Applicable To

  • • Natural cessation of menstruation before age 40

Important Notes

  • • Document age of onset and absence of known causes.

Other primary ovarian failure

Billable Code
E28.39
Billable

Diagnostic Criteria

clinical:
  • • FSH >25 IU/L with identified autoimmune or genetic cause

Applicable To

  • • Ovarian failure due to autoimmune or genetic causes

Important Notes

  • • Ensure documentation of specific etiology.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z87.42

Personal history of ovarian failure

Use for patients with resolved ovarian failure under monitoring.

Frequently Asked Questions

What is the ICD-10 code for premature ovarian failure?

The ICD-10 code for premature ovarian failure is E28.3, which includes primary ovarian insufficiency. Use E28.31 for premature menopause and E28.39 for other specified causes.

How is premature ovarian failure diagnosed?

Diagnosis requires FSH levels >25 IU/L on two occasions at least four weeks apart, with exclusion of iatrogenic causes such as chemotherapy.

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