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ICD-10 Guide
ICD-10 CodesE34.39

E34.39

Billable

Other short stature due to endocrine disorder

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

Code Description

ICD-10 E34.39 is a billable code used to indicate a diagnosis of other short stature due to endocrine disorder.

Key Diagnostic Point:

Short stature due to endocrine disorders encompasses a variety of conditions that affect growth and development, particularly during childhood and adolescence. This code specifically refers to cases where short stature is attributed to endocrine dysfunctions not classified elsewhere. Common causes include growth hormone deficiencies, thyroid disorders, and adrenal insufficiencies. Disorders of puberty, such as delayed or precocious puberty, can also contribute to abnormal growth patterns. Polyglandular dysfunction syndromes, where multiple endocrine glands are affected, may lead to complex presentations of short stature. Thymus disorders, while primarily affecting immune function, can indirectly influence growth through hormonal pathways. Growth abnormalities can arise from genetic factors, nutritional deficiencies, or chronic illnesses, necessitating a thorough evaluation to determine the underlying endocrine cause. Accurate diagnosis and management are crucial, as they can significantly impact the patient's growth trajectory and overall health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying endocrine disorders that can cause short stature.
  • Need for comprehensive patient history and diagnostic testing.
  • Potential overlap with other growth-related codes.
  • Variability in documentation requirements across specialties.

Audit Risk Factors

  • Insufficient documentation of endocrine evaluations.
  • Failure to specify the underlying endocrine disorder.
  • Inadequate differentiation from non-endocrine causes of short stature.
  • Lack of follow-up documentation on growth assessments.

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth charts, endocrine evaluation results, and family history.

Common Clinical Scenarios

Evaluation of a child presenting with short stature and delayed puberty.

Billing Considerations

Consideration of growth patterns over time and the impact of puberty on growth.

Endocrinology

Documentation Requirements

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

Common Clinical Scenarios

Management of a patient with suspected growth hormone deficiency.

Billing Considerations

Need for multidisciplinary approach in cases of polyglandular dysfunction.

Coding Guidelines

Inclusion Criteria

Use E34.39 When
  • According to ICD
  • 10 guidelines, E34
  • 39 should be used when short stature is specifically attributed to an endocrine disorder not classified elsewhere
  • Coders must ensure that the underlying cause is well
  • documented and that other potential causes are ruled out

Exclusion Criteria

Do NOT use E34.39 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

83519CPT Code

Growth hormone stimulation test

Clinical Scenario

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

Documentation Requirements

Document the indication for the test and results.

Specialty Considerations

Endocrinologists should ensure comprehensive evaluation of growth patterns.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of short stature due to endocrine disorders, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of patient outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of short stature due to endocrine disorders, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of patient outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement.

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 are the common causes of short stature due to endocrine disorders?

Common causes include growth hormone deficiency, hypothyroidism, adrenal insufficiency, and disorders of puberty. Each of these conditions can disrupt normal growth patterns and require specific diagnostic evaluations.