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ICD-10 Guide
ICD-10 CodesE34.328

E34.328

Billable

Other genetic causes of short stature

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

Code Description

ICD-10 E34.328 is a billable code used to indicate a diagnosis of other genetic causes of short stature.

Key Diagnostic Point:

E34.328 refers to short stature resulting from various genetic factors that do not fall under more specific categories. Short stature can be a manifestation of several genetic syndromes, hormonal deficiencies, or chromosomal abnormalities. Conditions such as Turner syndrome, Noonan syndrome, and growth hormone deficiencies can lead to reduced height. Additionally, genetic causes may include disorders affecting the endocrine system, such as hypopituitarism or thyroid dysfunction, which can disrupt normal growth patterns. Genetic syndromes often present with other clinical features, including developmental delays, dysmorphic features, and organ system involvement. Accurate diagnosis typically requires a multidisciplinary approach, including genetic testing, hormonal evaluations, and growth assessments. Understanding the underlying genetic cause is crucial for management and treatment, which may involve hormone therapy or other interventions to promote growth and address associated health issues.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of genetic conditions that can cause short stature
  • Need for comprehensive patient history and genetic testing
  • Potential overlap with other growth disorders
  • Documentation of associated symptoms and syndromes

Audit Risk Factors

  • Inadequate documentation of genetic testing results
  • Failure to specify associated syndromic features
  • Misclassification of short stature due to non-genetic causes
  • Lack of comprehensive patient history

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Ensure all relevant growth parameters are documented, including height, weight, and growth velocity.

Endocrinology

Documentation Requirements

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

Common Clinical Scenarios

Management of a patient with suspected growth hormone deficiency or other endocrine disorders.

Billing Considerations

Document any interventions or therapies initiated, including hormone replacement therapy.

Coding Guidelines

Inclusion Criteria

Use E34.328 When
  • According to ICD
  • 10 guidelines, E34
  • 328 should be used when short stature is attributed to genetic causes that do not fit into more specific categories
  • Coders must ensure that the documentation supports the diagnosis and that other potential causes have been ruled out

Exclusion Criteria

Do NOT use E34.328 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

83001CPT Code

Growth hormone stimulation test

Clinical Scenario

Used to evaluate suspected growth hormone deficiency in a child with short stature.

Documentation Requirements

Document the reason for the test, patient history, and results.

Specialty Considerations

Endocrinologists should ensure that all relevant growth parameters are included in the report.

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 accuracy of data collection and reimbursement processes. E34.328 provides a distinct code for conditions that were previously grouped under broader categories in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of genetic causes of short stature, improving the accuracy of data collection and reimbursement processes. E34.328 provides a distinct code for conditions that were previously grouped under broader categories in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. E34.328 provides a distinct code for conditions that were previously grouped under broader categories in ICD-9.

Resources

Clinical References

  • •
    Genetic Causes of Short Stature

Coding & Billing References

  • •
    Genetic Causes of Short Stature

Frequently Asked Questions

What are the common genetic causes of short stature?

Common genetic causes include Turner syndrome, Noonan syndrome, and growth hormone deficiencies. Each condition has distinct features and requires specific diagnostic approaches.