Testicular dysfunction
Chapter 4:Endocrine, nutritional and metabolic diseases
ICD-10 E29 is a billable code used to indicate a diagnosis of testicular dysfunction.
Testicular dysfunction refers to a range of conditions that impair the normal function of the testes, leading to issues such as infertility, hormonal imbalances, and sexual dysfunction. This condition can arise from various underlying causes, including hormonal disorders involving the pituitary gland, adrenal glands, or parathyroid glands. The testes are responsible for producing testosterone and sperm; thus, any dysfunction can significantly impact male reproductive health. Conditions such as hypogonadism, where the body does not produce enough testosterone, can stem from primary testicular failure or secondary causes related to the hypothalamus or pituitary gland. Additionally, endocrine disorders, such as hyperprolactinemia or adrenal insufficiency, can disrupt the hormonal balance necessary for normal testicular function. Accurate diagnosis often involves a thorough clinical evaluation, including hormone level assessments and imaging studies, to identify the specific dysfunction and its etiology. Treatment may involve hormone replacement therapy, lifestyle modifications, or addressing the underlying endocrine disorder.
Detailed history of symptoms, hormonal assessments, and any imaging studies.
Evaluation of male infertility, low testosterone levels, and sexual dysfunction.
Ensure clear documentation of testicular function tests and any treatments administered.
Comprehensive endocrine evaluation, including pituitary and adrenal function tests.
Assessment of hormonal imbalances affecting testicular function.
Document any endocrine disorders that may contribute to testicular dysfunction.
Used to evaluate testosterone levels in suspected testicular dysfunction.
Document the clinical rationale for testing and any relevant patient history.
Urologists and endocrinologists should ensure comprehensive documentation of hormonal assessments.
Common causes include hormonal imbalances, genetic disorders, environmental factors, and underlying endocrine disorders affecting the hypothalamic-pituitary-gonadal axis.
