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ICD-10 Guide
ICD-10 CodesE30.9

E30.9

Billable

Disorder of puberty, unspecified

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

Code Description

ICD-10 E30.9 is a billable code used to indicate a diagnosis of disorder of puberty, unspecified.

Key Diagnostic Point:

Disorders of puberty encompass a range of conditions that affect the normal progression of physical and hormonal changes during adolescence. These disorders can manifest as precocious puberty, delayed puberty, or other abnormalities in sexual development. The etiology may include genetic factors, endocrine disorders, or environmental influences. Polyglandular dysfunction, where multiple endocrine glands are affected, can lead to disruptions in puberty due to hormonal imbalances. Thymus disorders, while primarily associated with immune function, can also impact growth and development during puberty. Growth abnormalities, such as short stature or excessive growth, may also be linked to underlying hormonal disorders. The diagnosis of unspecified disorder of puberty requires careful evaluation of growth patterns, hormonal levels, and the presence of any associated symptoms or syndromes. Clinicians must consider a comprehensive approach to identify the underlying causes and provide appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes
  • Overlap with other endocrine disorders
  • Need for comprehensive hormonal evaluation
  • Variability in clinical presentation

Audit Risk Factors

  • Insufficient documentation of symptoms
  • Lack of clear diagnostic criteria
  • Inadequate follow-up notes
  • Failure to document hormonal evaluations

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and development assessments, hormonal evaluations, and family history.

Common Clinical Scenarios

Evaluation of a child presenting with delayed or precocious puberty, requiring growth monitoring and endocrine testing.

Billing Considerations

Ensure all relevant growth parameters and laboratory results are documented to support the diagnosis.

Endocrinology

Documentation Requirements

Comprehensive hormonal profiles, imaging studies, and detailed patient history.

Common Clinical Scenarios

Management of patients with suspected endocrine disorders affecting puberty, including thyroid dysfunction or adrenal abnormalities.

Billing Considerations

Document any co-existing endocrine disorders that may influence puberty.

Coding Guidelines

Inclusion Criteria

Use E30.9 When
  • According to ICD
  • 10 guidelines, E30
  • 9 should be used when the specific type of puberty disorder is not documented
  • Coders must ensure that all relevant clinical information is captured to justify the use of this unspecified code

Exclusion Criteria

Do NOT use E30.9 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

83001CPT Code

Testosterone level

Clinical Scenario

Used in conjunction with E30.9 to evaluate suspected hormonal imbalances.

Documentation Requirements

Document the reason for testing and any relevant clinical findings.

Specialty Considerations

Endocrinologists may require additional tests based on initial findings.

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, but E30.9 remains a catch-all for unspecified cases, which can lead to increased scrutiny during audits.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of puberty disorders, but E30.9 remains a catch-all for unspecified cases, which can lead to increased scrutiny during audits.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of puberty disorders, but E30.9 remains a catch-all for unspecified cases, which can lead to increased scrutiny during audits.

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 should I document to support the use of E30.9?

Document all relevant clinical findings, including growth patterns, hormonal evaluations, and any associated symptoms. Ensure that the rationale for using an unspecified code is clear.