Other primary ovarian failure
ICD-10 E28.39 is a billable code used to indicate a diagnosis of other primary ovarian failure.
Other primary ovarian failure refers to a condition characterized by the cessation of ovarian function before the age of 40, leading to a lack of estrogen production and subsequent amenorrhea. This condition can arise from various etiologies, including genetic factors, autoimmune disorders, and environmental influences. It is essential to differentiate this condition from secondary ovarian failure, which is caused by dysfunction in the hypothalamus or pituitary gland. Patients may present with symptoms such as hot flashes, night sweats, mood changes, and infertility. Hormonal imbalances, particularly low estrogen and elevated follicle-stimulating hormone (FSH) levels, are common findings in these patients. The diagnosis often requires a thorough evaluation of the patient's medical history, physical examination, and laboratory tests to assess hormone levels. Additionally, conditions affecting the parathyroid, pituitary, and adrenal glands can contribute to or complicate the presentation of primary ovarian failure, necessitating a comprehensive endocrine assessment.
Detailed hormonal assessment and history of endocrine disorders.
Patients presenting with amenorrhea and hormonal imbalances.
Ensure all relevant endocrine tests are documented to support diagnosis.
Comprehensive fertility evaluations and treatment plans.
Infertility assessments in women with suspected ovarian failure.
Document any assisted reproductive technologies used.
Used to confirm diagnosis of ovarian failure.
Document the reason for testing and results.
Endocrinologists should ensure comprehensive hormonal panels are included.
Common causes include genetic factors, autoimmune disorders, and environmental influences. Conditions such as Turner syndrome and autoimmune oophoritis are notable examples.
