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ICD-10 Guide
ICD-10 CodesE28.8

E28.8

Billable

Other ovarian dysfunction

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 E28.8 is a billable code used to indicate a diagnosis of other ovarian dysfunction.

Key Diagnostic Point:

Other ovarian dysfunction encompasses a variety of conditions that affect the normal functioning of the ovaries, which can lead to hormonal imbalances and reproductive issues. This code is used when the dysfunction does not fit into more specific categories such as polycystic ovary syndrome (PCOS) or premature ovarian failure. Conditions may include ovarian hyperstimulation syndrome, luteal phase defects, or other endocrine-related disorders affecting ovarian function. Hormonal imbalances can arise from dysfunctions in the hypothalamus, pituitary gland, or adrenal glands, leading to irregular menstrual cycles, infertility, or other reproductive health issues. The interplay between these endocrine glands is crucial, as they regulate the secretion of hormones like estrogen and progesterone, which are vital for normal ovarian function. Diagnosis often requires a comprehensive evaluation, including hormonal assays and imaging studies, to determine the underlying cause of the dysfunction. Treatment may involve hormonal therapies, lifestyle modifications, or addressing any underlying endocrine disorders.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to ovarian dysfunction
  • Need for comprehensive hormonal evaluation
  • Potential overlap with other endocrine disorders
  • Variability in clinical presentation

Audit Risk Factors

  • Insufficient documentation of hormonal assays
  • Lack of clear diagnosis linking symptoms to ovarian dysfunction
  • Failure to document the rationale for using E28.8
  • Inconsistent coding of related endocrine disorders

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed hormonal assay results, patient history, and treatment plans.

Common Clinical Scenarios

Patients presenting with irregular menstrual cycles, infertility, or symptoms of hormonal imbalance.

Billing Considerations

Ensure all relevant endocrine evaluations are documented to support the diagnosis.

Reproductive Medicine

Documentation Requirements

Comprehensive fertility assessments, including ovulation tracking and hormonal evaluations.

Common Clinical Scenarios

Couples seeking fertility treatment where ovarian dysfunction is suspected.

Billing Considerations

Document any assisted reproductive technologies used and their outcomes.

Coding Guidelines

Inclusion Criteria

Use E28.8 When
  • According to ICD
  • 10 guidelines, E28
  • 8 should be used when the ovarian dysfunction does not fit into more specific categories
  • Coders should ensure that the diagnosis is supported by clinical documentation and that other potential causes have been ruled out

Exclusion Criteria

Do NOT use E28.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

83001CPT Code

Estradiol test

Clinical Scenario

Used to evaluate hormonal levels in patients suspected of ovarian dysfunction.

Documentation Requirements

Document the reason for the test and the results.

Specialty Considerations

Endocrinologists should ensure comprehensive hormonal panels are ordered.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of ovarian dysfunction, enabling better tracking of conditions and treatment outcomes. E28.8 provides a broader category for cases that do not fit neatly into other classifications, improving the granularity of data collection.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of ovarian dysfunction, enabling better tracking of conditions and treatment outcomes. E28.8 provides a broader category for cases that do not fit neatly into other classifications, improving the granularity of data collection.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of ovarian dysfunction, enabling better tracking of conditions and treatment outcomes. E28.8 provides a broader category for cases that do not fit neatly into other classifications, improving the granularity of data collection.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What conditions are included under E28.8?

E28.8 includes various forms of ovarian dysfunction that do not fall under more specific categories, such as hormonal imbalances, ovarian hyperstimulation syndrome, and other endocrine-related issues affecting ovarian function.