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ICD-10 Guide
ICD-10 CodesE34.322

E34.322

Billable

Insulin-like growth factor-1 (IGF-1) resistance

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

Code Description

ICD-10 E34.322 is a billable code used to indicate a diagnosis of insulin-like growth factor-1 (igf-1) resistance.

Key Diagnostic Point:

Insulin-like growth factor-1 (IGF-1) resistance is a condition characterized by the body's inability to respond effectively to IGF-1, a hormone that plays a crucial role in growth and development. This resistance can lead to various growth abnormalities, particularly during puberty, where normal growth patterns are disrupted. Patients may present with short stature, delayed puberty, and other endocrine dysfunctions. The condition can be associated with polyglandular dysfunction, where multiple endocrine glands are affected, leading to a complex interplay of hormonal imbalances. Thymus disorders may also be implicated, as the thymus plays a role in immune function and can influence growth factors. Diagnosing IGF-1 resistance typically involves measuring IGF-1 levels, alongside growth hormone levels, and assessing the patient's growth patterns over time. Treatment may include hormone therapy and addressing any underlying endocrine disorders.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of endocrine disorders and their interactions.
  • Involves differential diagnosis with other growth disorders.
  • Documentation must clearly indicate IGF-1 resistance versus other conditions.
  • May require additional testing and lab results to support diagnosis.

Audit Risk Factors

  • Inadequate documentation of IGF-1 levels and resistance.
  • Failure to document associated endocrine disorders.
  • Lack of clear clinical rationale for the diagnosis.
  • Inconsistent coding with lab results and clinical findings.

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed endocrine evaluations, including hormone levels and growth assessments.

Common Clinical Scenarios

Patients presenting with short stature, delayed puberty, or unexplained growth abnormalities.

Billing Considerations

Ensure all relevant lab results and growth charts are included in documentation.

Pediatrics

Documentation Requirements

Growth charts, family history of growth disorders, and developmental milestones.

Common Clinical Scenarios

Children with growth delays or abnormal growth patterns requiring referral to endocrinology.

Billing Considerations

Documenting the child's growth history and any interventions attempted.

Coding Guidelines

Inclusion Criteria

Use E34.322 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the diagnosis and any associated conditions
  • Include relevant lab results and clinical findings that support the diagnosis of IGF
  • 1 resistance

Exclusion Criteria

Do NOT use E34.322 When
  • Exclude conditions that do not meet the criteria for this specific diagnosis

Related ICD-10 Codes

Related CPT Codes

83519CPT Code

Insulin-like growth factor-1 (IGF-1) test

Clinical Scenario

Used to confirm IGF-1 levels in patients suspected of having IGF-1 resistance.

Documentation Requirements

Document the reason for testing and any relevant clinical findings.

Specialty Considerations

Endocrinologists should ensure comprehensive lab results are included.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like IGF-1 resistance, improving the accuracy of diagnoses and treatment plans. It has also facilitated better tracking of growth disorders and their management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like IGF-1 resistance, improving the accuracy of diagnoses and treatment plans. It has also facilitated better tracking of growth disorders and their management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like IGF-1 resistance, improving the accuracy of diagnoses and treatment plans. It has also facilitated better tracking of growth disorders and their management.

Resources

Clinical References

  • •
    Endocrine Society Guidelines

Coding & Billing References

  • •
    Endocrine Society Guidelines

Frequently Asked Questions

What are the common symptoms of IGF-1 resistance?

Common symptoms include short stature, delayed puberty, and other growth abnormalities. Patients may also exhibit signs of other endocrine dysfunctions.