ICD Code E29.1

ICD code E29.1 is a medical classification used to denote testicular hypofunction, a condition where the testes produce insufficient levels of hormones, particularly testosterone. This can lead to various symptoms such as reduced libido, infertility, and other hormonal imbalances. In the context of healthcare revenue cycle management, accurate coding of this condition is crucial for proper billing and reimbursement processes.

1. Decreased Libido: A noticeable reduction in sexual desire or interest, which may be reported by the patient or observed through clinical evaluation.

2. Erectile Dysfunction: Difficulty in achieving or maintaining an erection sufficient for satisfactory sexual performance.

3. Infertility: Challenges in conceiving a child despite regular, unprotected sexual intercourse over a period of time, often evaluated through semen analysis and other fertility assessments.

4. Gynecomastia: The development of enlarged breast tissue in males, which may be due to hormonal imbalances associated with testicular hypofunction.

5. Reduced Muscle Mass: A decrease in muscle size and strength, potentially leading to diminished physical performance and increased fatigue.

6. Increased Body Fat: An increase in body fat percentage, particularly around the abdomen, which may be linked to hormonal changes.

7. Decreased Bone Density: Lower bone mineral density, increasing the risk of fractures and osteoporosis, often assessed through bone density scans.

8. Fatigue and Low Energy Levels: Persistent tiredness and lack of energy that affects daily activities and overall quality of life.

9. Mood Changes: Symptoms such as depression, irritability, or anxiety, which may be related to hormonal imbalances.

10. Delayed or Incomplete Puberty: In adolescents, a delay in the onset of puberty or incomplete development of secondary sexual characteristics.

11. Small Testicular Size: Observed during physical examination, indicating potential underdevelopment or atrophy of the testes.

12. Low Serum Testosterone Levels: Confirmed through blood tests, indicating insufficient production of testosterone by the testes.

These criteria and symptoms should be evaluated by healthcare providers to determine the appropriate use of the ICD code in clinical documentation and billing processes.

For the ICD code E29.1, which pertains to testicular hypofunction, the relevant CPT codes that may be applicable for treatment or management include:

1. CPT 84403 - Testosterone; total, serum.
2. CPT 84402 - Testosterone; free.
3. CPT 84410 - Testosterone; bioavailable, direct measurement.
4. CPT 83001 - Gonadotropin; follicle-stimulating hormone (FSH).
5. CPT 83002 - Gonadotropin; luteinizing hormone (LH).
6. CPT 82140 - Assay of androstenedione.
7. CPT 82670 - Assay of estradiol.
8. CPT 96372 - Therapeutic, prophylactic, or diagnostic injection (specifically for testosterone injections).

These CPT codes are often used in conjunction with ICD code E29.1 for diagnostic testing and treatment procedures related to testicular hypofunction. It is important for healthcare providers to verify the most current coding guidelines and payer-specific requirements when billing for these services.

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