ICD-10 Codes for Hypogonadism 2025_ Billing & Coding Insight for Healthcare Providers

1. ICD-10 Codes for Hypogonadism 2025: Billing & Coding Insight for Healthcare Providers Hypogonadism is a condition in which the body's ability to produce sex hormones is impaired. This hormonal disorder can affect either the testes in males or the ovaries in females, leading to a range of symptoms that impact reproductive health, metabolism, and overall well-being. Whether congenital or acquired, hypogonadism can emerge due to injury, infection, autoimmune disorders, or as a side effect of medical treatments like chemotherapy. This guide provides a thorough understanding of the ICD-10 codes related to hypogonadism, helping healthcare providers, billing teams, and coders ensure precise documentation and hassle-free insurance reimbursements. Understanding Hypogonadism Hypogonadism occurs when the sex glands produce little or no hormones. In males, this refers to low testosterone production from the testes, and in females, it involves insufficient estrogen from the ovaries. The condition can manifest early in life or develop later due to various health conditions or external factors. There are two major types: ● Primary Hypogonadism: Caused by a direct problem with the gonads. ● Secondary (Central) Hypogonadism: Originates from issues with the hypothalamus or pituitary gland. What Leads to Hypogonadism?

2. The causes of hypogonadism are diverse. Genetics, autoimmune disorders, infections, and medical treatments like chemotherapy or radiation often play a role. Even lifestyle factors such as chronic stress, rapid weight loss, or eating disorders like anorexia nervosa and bulimia can contribute to its development. Recognizing the Symptoms Symptoms vary based on age, gender, and the type of hypogonadism. In men, it may present as low libido, erectile dysfunction, decreased muscle mass, or infertility. Women may experience irregular periods, hot flashes, and infertility. Bone loss, mood changes, and fatigue are common in both sexes. Key ICD-10 Codes for Hypogonadism (2025) ICD-10 coding allows healthcare professionals to clearly communicate the specifics of a hypogonadism diagnosis. Here are the most relevant billable codes: Codes for Primary Hypogonadism ● E29.1 – Testicular Hypofunction This code applies when the testes fail to produce sufficient testosterone, potentially due to trauma, genetic disorders like Klinefelter syndrome, or chemotherapy. ● E28.39 – Other Primary Ovarian Failure Used for ovarian failure not linked to specific conditions like surgery or radiation. This code often reflects early-onset menopause or primary ovarian insufficiency. Codes for Secondary (Central) Hypogonadism ● E23.0 – Hypopituitarism Indicates inadequate hormone production by the pituitary gland, affecting overall hormonal balance and potentially leading to hypogonadism. ● E23.1 – Drug-Induced Hypopituitarism Reflects hormonal deficiency caused by long-term medication use, especially glucocorticoids, which can suppress pituitary activity. ● E23.2 – Diabetes Insipidus of Pituitary Origin Although not a direct cause, this condition often coexists with pituitary dysfunction and may lead to or exacerbate hypogonadism. ● E23.3 – Hypothalamic Dysfunction A diagnosis involving a malfunction in the hypothalamus, disrupting hormonal

3. signals that influence the gonads. Codes for Unspecified Hypogonadism When the root cause of hypogonadism isn’t fully identified, these codes are used: ● E29.9 – Testicular Dysfunction, Unspecified Applies when male hypogonadism symptoms are present but without a confirmed origin. ● E28.9 – Ovarian Dysfunction, Unspecified Indicates symptoms of ovarian hormone deficiency without a clearly defined cause. Proper Code Usage in Healthcare ICD-10 codes for hypogonadism are essential for accurate diagnosis, patient care, and successful claim submission. Proper use of these codes ensures timely insurance reimbursement and reduces the likelihood of claim denials. Medical professionals should document patient symptoms thoroughly, ensure hormone level tests are conducted (such as testosterone or LH/FSH levels), and follow up with consistent monitoring. Common Claim Denials and How to Avoid Them Incorrect billing can significantly impact practice revenue. Claims often get denied due to: ● Incomplete or outdated codes ● Confusion between similar-looking characters (e.g., using the number zero in place of the letter O) ● Failure to provide supporting documentation for the diagnosis ● Submitting claims with default codes without drilling down into subcategories A key point to remember: even if the clinical diagnosis is accurate, a mistake in selecting the correct ICD-10 code can result in payment delays or denials. Documentation Essentials for Hypogonadism Billing

4. To streamline reimbursements and improve claim acceptance rates, ensure your documentation includes: ● Results from two separate morning testosterone tests ● Hormonal lab panels, including LH and FSH ● Symptom documentation and physical exam findings ● Response to therapy and periodic reassessments ● Risk factor evaluations and long-term monitoring plans Let the Experts Handle Hypogonadism Billing At I-Med Claims, we specialize in medical billing and coding for complex conditions like hypogonadism. With a deep understanding of ICD-10 updates, reimbursement policies, and coding precision, we take the hassle out of medical billing. Avoid costly errors and claim denials—partner with professionals who ensure that every diagnosis is coded correctly, every document is complete, and every dollar is recovered. ? Learn more or get started today: https://imedclaims.com/icd-10-codes-for-hypogonadism/