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ICD-10 Guide
ICD-10 CodesE34.32

E34.32

Billable

Genetic causes of short stature

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

Code Description

ICD-10 E34.32 is a billable code used to indicate a diagnosis of genetic causes of short stature.

Key Diagnostic Point:

Genetic causes of short stature encompass a variety of conditions that lead to reduced height due to hereditary factors. These conditions can include chromosomal abnormalities, such as Turner syndrome and Down syndrome, as well as single-gene disorders like achondroplasia. Genetic short stature can also be associated with endocrine disorders, including growth hormone deficiencies and thyroid dysfunctions. In some cases, polyglandular dysfunction may contribute to growth abnormalities, where multiple endocrine glands are affected, leading to a cascade of hormonal imbalances that hinder normal growth. Additionally, thymus disorders can impact immune function and overall health, indirectly affecting growth patterns. The diagnosis of genetic short stature typically involves a thorough clinical evaluation, including family history, physical examination, and genetic testing to identify specific mutations or chromosomal anomalies. Understanding the underlying genetic causes is crucial for developing appropriate management strategies and providing genetic counseling to affected families.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of genetic conditions leading to short stature
  • Need for comprehensive family history and genetic testing
  • Differentiation from other causes of short stature
  • Potential for co-existing endocrine disorders

Audit Risk Factors

  • Inadequate documentation of genetic testing results
  • Failure to include family history in the medical record
  • Misclassification of short stature due to non-genetic causes
  • Lack of detailed growth charts to support diagnosis

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth charts, family history, and results of genetic tests.

Common Clinical Scenarios

Evaluation of a child with unexplained short stature, referral for genetic counseling.

Billing Considerations

Ensure accurate recording of growth patterns over time and any associated symptoms.

Endocrinology

Documentation Requirements

Hormonal assay results, imaging studies, and comprehensive endocrine evaluations.

Common Clinical Scenarios

Management of growth hormone deficiency or other endocrine disorders contributing to short stature.

Billing Considerations

Document any interventions or treatments that may affect growth outcomes.

Coding Guidelines

Inclusion Criteria

Use E34.32 When
  • According to ICD
  • 10 coding guidelines, E34
  • 32 should be used when the short stature is specifically attributed to genetic causes
  • Coders must ensure that the documentation supports the diagnosis and that other potential causes have been ruled out

Exclusion Criteria

Do NOT use E34.32 When
  • Exclusion criteria include short stature due to nutritional deficiencies or chronic illnesses

Related ICD-10 Codes

Related CPT Codes

81291CPT Code

Genetic testing for achondroplasia

Clinical Scenario

Used when a child presents with short stature and is suspected of having achondroplasia.

Documentation Requirements

Results of genetic testing must be documented in the medical record.

Specialty Considerations

Pediatric geneticists should ensure comprehensive family history is included.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of genetic causes of short stature, improving the ability to capture the complexity of these conditions and enhancing data accuracy for research and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of genetic causes of short stature, improving the ability to capture the complexity of these conditions and enhancing data accuracy for research and treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of genetic causes of short stature, improving the ability to capture the complexity of these conditions and enhancing data accuracy for research and treatment planning.

Resources

Clinical References

  • •
    Genetic Short Stature: A Clinical Guide

Coding & Billing References

  • •
    Genetic Short Stature: A Clinical Guide

Frequently Asked Questions

What are the common genetic causes of short stature?

Common genetic causes include Turner syndrome, achondroplasia, and other chromosomal abnormalities. Each condition has specific features that can help in diagnosis.