Hyperprolactinemia
ICD-10 E22.1 is a billable code used to indicate a diagnosis of hyperprolactinemia.
Hyperprolactinemia is a condition characterized by elevated levels of prolactin, a hormone produced by the pituitary gland. This condition can result from various factors, including pituitary tumors (prolactinomas), hypothyroidism, and certain medications. Prolactin plays a crucial role in lactation and reproductive health, and its dysregulation can lead to symptoms such as galactorrhea (unexplained milk production), amenorrhea (absence of menstruation), and infertility. In men, hyperprolactinemia can cause erectile dysfunction and decreased libido. The diagnosis is typically confirmed through serum prolactin level testing, and management may involve treating the underlying cause, such as medication adjustments or surgical intervention for tumors. Understanding the endocrine pathways and the interplay between the pituitary, hypothalamus, and other glands is essential for effective diagnosis and treatment.
Detailed hormone level tests, imaging studies, and treatment plans.
Patients presenting with infertility, menstrual irregularities, or galactorrhea.
Ensure comprehensive documentation of all endocrine evaluations and treatments.
Menstrual history, pregnancy status, and any related reproductive health issues.
Women presenting with amenorrhea or galactorrhea.
Document any hormonal treatments or contraceptive use that may affect prolactin levels.
Used to confirm diagnosis of hyperprolactinemia.
Document the reason for testing and any relevant clinical history.
Endocrinologists should ensure comprehensive lab results are included.
Common causes include prolactinomas, hypothyroidism, certain medications (like antipsychotics), and stress. Each cause may require different management strategies.
