Testicular hyperfunction
ICD-10 E29.0 is a billable code used to indicate a diagnosis of testicular hyperfunction.
Testicular hyperfunction refers to an overactivity of the testes, leading to excessive production of testosterone and other androgens. This condition can result from various endocrine disorders, including hyperplasia of the Leydig cells, which are responsible for testosterone production. It may also be associated with disorders of the pituitary gland, such as hypersecretion of luteinizing hormone (LH) or follicle-stimulating hormone (FSH), which stimulate the testes. Additionally, adrenal gland disorders, such as adrenal hyperplasia, can contribute to elevated androgen levels. Symptoms may include precocious puberty in males, increased libido, and other androgenic effects. Diagnosis typically involves hormonal assays to measure testosterone levels, imaging studies to evaluate testicular structure, and possibly genetic testing if a hereditary condition is suspected. Management may involve treating the underlying cause, monitoring hormone levels, and addressing any symptoms or complications arising from the hyperfunction.
Detailed hormonal assay results, imaging studies, and clinical symptoms must be documented.
Patients presenting with signs of hyperandrogenism, such as hirsutism or precocious puberty.
Endocrinologists must ensure that all relevant endocrine evaluations are documented to support the diagnosis.
Clinical examination findings, imaging results, and any surgical interventions must be documented.
Men presenting with infertility or sexual dysfunction related to hormonal imbalances.
Urologists should document any surgical history or interventions that may impact testicular function.
Used to confirm elevated testosterone levels in suspected cases of hyperfunction.
Document the reason for testing and the patient's clinical symptoms.
Endocrinologists should ensure comprehensive hormonal profiling is included.
Common causes include Leydig cell hyperplasia, pituitary disorders leading to excess LH or FSH, and adrenal gland disorders such as adrenal hyperplasia.
Diagnosis typically involves hormonal assays to measure testosterone levels, imaging studies to evaluate testicular structure, and possibly genetic testing if a hereditary condition is suspected.
