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ICD-10 Guide
ICD-10 CodesE34.3

E34.3

Billable

Short stature due to endocrine disorder

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

Code Description

ICD-10 E34.3 is a billable code used to indicate a diagnosis of short stature due to endocrine disorder.

Key Diagnostic Point:

Short stature due to endocrine disorders encompasses a variety of conditions that impede normal growth and development in children and adolescents. This can include disorders related to the pituitary gland, such as growth hormone deficiency, which is critical for normal growth. Additionally, conditions affecting the thyroid gland, such as hypothyroidism, can lead to reduced growth rates. Disorders of puberty, including delayed puberty or hypogonadism, can also contribute to short stature by delaying the onset of growth spurts. Polyglandular dysfunction syndromes, where multiple endocrine glands are affected, can further complicate the clinical picture. Thymus disorders, while primarily associated with immune function, can also indirectly affect growth through their influence on overall health and metabolic processes. Growth abnormalities may manifest as a result of these endocrine disorders, necessitating a comprehensive evaluation to determine the underlying cause and appropriate management strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying endocrine disorders that can cause short stature.
  • Need for comprehensive documentation of growth patterns and hormonal evaluations.
  • Differentiation from other causes of short stature, such as genetic factors.
  • Potential for co-existing conditions that may complicate coding.

Audit Risk Factors

  • Inadequate documentation of growth measurements over time.
  • Failure to document the specific endocrine disorder causing short stature.
  • Lack of clarity in distinguishing between primary and secondary causes.
  • Insufficient evidence of treatment plans or follow-up evaluations.

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Growth charts, hormonal assay results, and detailed patient history.

Common Clinical Scenarios

Evaluation of a child presenting with short stature and delayed puberty.

Billing Considerations

Consideration of familial short stature versus pathological causes.

Endocrinology

Documentation Requirements

Comprehensive endocrine evaluations, including imaging studies and lab results.

Common Clinical Scenarios

Management of a patient with growth hormone deficiency and associated short stature.

Billing Considerations

Need for interdisciplinary collaboration with pediatricians for holistic care.

Coding Guidelines

Inclusion Criteria

Use E34.3 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the specific endocrine disorder causing short stature
  • Include relevant clinical findings and treatment plans

Exclusion Criteria

Do NOT use E34.3 When
  • Exclude conditions that do not directly relate to endocrine causes

Related ICD-10 Codes

Related CPT Codes

83001CPT Code

Growth hormone level

Clinical Scenario

Used to evaluate suspected growth hormone deficiency in a child with short stature.

Documentation Requirements

Document the reason for testing and any previous growth measurements.

Specialty Considerations

Endocrinologists may require additional tests to confirm diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of short stature due to endocrine disorders, enabling better tracking of patient outcomes and more precise reimbursement for services rendered.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of short stature due to endocrine disorders, enabling better tracking of patient outcomes and more precise reimbursement for services rendered.

Reimbursement & Billing Impact

reimbursement for services rendered.

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 short stature due to endocrine disorders?

Common causes include growth hormone deficiency, hypothyroidism, and disorders affecting puberty such as hypogonadism. Polyglandular dysfunction syndromes can also contribute to short stature.