Delayed puberty
ICD-10 E30.0 is a billable code used to indicate a diagnosis of delayed puberty.
Delayed puberty is defined as the absence of secondary sexual characteristics by age 14 in boys and age 13 in girls. This condition can arise from various underlying causes, including hormonal imbalances, genetic disorders, chronic illnesses, and nutritional deficiencies. In boys, delayed puberty may manifest as a lack of testicular enlargement, while in girls, it may present as the absence of breast development. The condition can be classified into primary and secondary types, with primary delayed puberty indicating a failure of the gonads to produce sex hormones, and secondary delayed puberty indicating a disruption in the hypothalamic-pituitary-gonadal axis. Conditions such as Turner syndrome, Klinefelter syndrome, and hypogonadism are often associated with delayed puberty. Diagnosis typically involves a thorough clinical evaluation, including a detailed medical history, physical examination, and laboratory tests to assess hormone levels. Treatment may involve hormone replacement therapy or addressing underlying health issues. Early diagnosis and intervention are crucial to prevent psychosocial issues and ensure normal growth and development.
Detailed growth charts, family history, and developmental milestones.
Evaluation of a child presenting with lack of secondary sexual characteristics.
Consideration of psychosocial impacts on the child and family.
Hormonal assay results, imaging studies, and comprehensive endocrine evaluations.
Management of hormonal therapies and monitoring of growth patterns.
Need for interdisciplinary collaboration for complex cases.
Used to evaluate hormone levels in girls suspected of delayed puberty.
Document the reason for the test and results.
Endocrinologists may require additional tests based on initial findings.
Common causes include genetic disorders, chronic illnesses, nutritional deficiencies, and hormonal imbalances. Conditions like Turner syndrome and Klinefelter syndrome are also significant contributors.
