Hypofunction and other disorders of the pituitary gland
Chapter 4:Endocrine, nutritional and metabolic diseases
ICD-10 E23 is a billable code used to indicate a diagnosis of hypofunction and other disorders of the pituitary gland.
Hypofunction and other disorders of the pituitary gland encompass a range of conditions characterized by insufficient hormone production from the pituitary gland, which is a crucial endocrine organ located at the base of the brain. This gland regulates various hormonal functions by releasing hormones that control other endocrine glands, including the adrenal glands, thyroid, and gonads. Disorders such as hypopituitarism can lead to deficiencies in growth hormone, thyroid-stimulating hormone, adrenocorticotropic hormone, and others, resulting in symptoms like fatigue, weight gain, decreased libido, and growth issues in children. The pituitary gland's dysfunction can also lead to secondary adrenal insufficiency, thyroid dysfunction, and reproductive issues. Accurate diagnosis often requires a combination of clinical evaluation, hormone level testing, and imaging studies. Treatment typically involves hormone replacement therapy and addressing the underlying cause of the pituitary dysfunction. Understanding the interplay between the pituitary gland and other endocrine glands is essential for managing these disorders effectively.
Detailed hormone level tests, patient history, and treatment plans must be documented.
Patients presenting with fatigue, weight changes, or reproductive issues requiring hormone evaluation.
Endocrinologists must ensure that all relevant hormone levels are tested and documented to support the diagnosis.
Growth charts, developmental milestones, and family history of endocrine disorders.
Children with growth delays or abnormal puberty onset needing evaluation for pituitary disorders.
Pediatricians should document growth patterns and any signs of hormonal imbalance thoroughly.
Used to evaluate thyroid function in patients suspected of having pituitary disorders.
Document the clinical rationale for testing and any relevant patient history.
Endocrinologists should ensure comprehensive hormone panels are ordered.
Common symptoms include fatigue, weight gain, decreased libido, growth delays in children, and symptoms of adrenal insufficiency such as low blood pressure and weakness.
