Disorders of puberty, not elsewhere classified
Chapter 4:Endocrine, nutritional and metabolic diseases
ICD-10 E30 is a billable code used to indicate a diagnosis of disorders of puberty, not elsewhere classified.
Disorders of puberty encompass a range of conditions that affect the normal progression of sexual maturation during adolescence. These disorders can manifest as precocious puberty, delayed puberty, or other abnormalities in the development of secondary sexual characteristics. Conditions such as hypogonadism, which can be due to polyglandular dysfunction or thymus disorders, may lead to insufficient hormone production, resulting in delayed or absent puberty. Growth abnormalities, including growth hormone deficiencies, can also impact the timing and progression of puberty. The diagnosis of these disorders often requires a comprehensive evaluation, including hormonal assays, imaging studies, and clinical assessments to determine the underlying etiology. Treatment may involve hormone replacement therapy or addressing any underlying endocrine disorders. Accurate coding is essential for proper management and reimbursement, as these conditions can significantly affect a patient's physical and psychological well-being during a critical developmental period.
Detailed growth charts, hormonal assay results, and developmental history.
Evaluation of a child presenting with delayed or precocious puberty.
Consideration of psychosocial impacts on the child and family.
Comprehensive endocrine evaluation, including hormone levels and imaging studies.
Management of patients with suspected hypogonadism or growth hormone deficiency.
Need for interdisciplinary collaboration with pediatricians and psychologists.
Used to evaluate suspected hypogonadism in adolescents.
Document the clinical rationale for testing and any relevant patient history.
Endocrinologists may require additional tests to assess overall endocrine function.
Common causes include genetic conditions, endocrine disorders such as hypogonadism, and environmental factors affecting hormonal balance.