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ICD-10 Guide
ICD-10 CodesChapter 4: Endocrine, nutritional and metabolic diseasesE30

E30

Billable

Disorders of puberty, not elsewhere classified

Chapter 4:Endocrine, nutritional and metabolic diseases

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

Code Description

ICD-10 E30 is a billable code used to indicate a diagnosis of disorders of puberty, not elsewhere classified.

Key Diagnostic Point:

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.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes (e.g., endocrine disorders, genetic conditions)
  • Overlap with other endocrine disorders requiring careful differentiation
  • Need for comprehensive documentation to support diagnosis
  • Potential for co-morbid conditions that complicate coding

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the type of puberty disorder
  • Misclassification of related endocrine disorders
  • Lack of supporting laboratory or imaging results

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth charts, hormonal assay results, and developmental history.

Common Clinical Scenarios

Evaluation of a child presenting with delayed or precocious puberty.

Billing Considerations

Consideration of psychosocial impacts on the child and family.

Endocrinology

Documentation Requirements

Comprehensive endocrine evaluation, including hormone levels and imaging studies.

Common Clinical Scenarios

Management of patients with suspected hypogonadism or growth hormone deficiency.

Billing Considerations

Need for interdisciplinary collaboration with pediatricians and psychologists.

Coding Guidelines

Inclusion Criteria

Use E30 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is well
  • supported by clinical documentation
  • Include any relevant laboratory results and imaging studies that substantiate the diagnosis of a puberty disorder

Exclusion Criteria

Do NOT use E30 When
  • Exclude conditions that are specifically classified elsewhere

Related CPT Codes

83001CPT Code

Testosterone, total

Clinical Scenario

Used to evaluate suspected hypogonadism in adolescents.

Documentation Requirements

Document the clinical rationale for testing and any relevant patient history.

Specialty Considerations

Endocrinologists may require additional tests to assess overall endocrine function.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of puberty disorders, improving the ability to capture the complexity of these conditions and their management. This specificity aids in better tracking of epidemiological data and enhances reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of puberty disorders, improving the ability to capture the complexity of these conditions and their management. This specificity aids in better tracking of epidemiological data and enhances reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 disorders of puberty?

Common causes include genetic conditions, endocrine disorders such as hypogonadism, and environmental factors affecting hormonal balance.