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ICD-10 Guide
ICD-10 CodesE34.329

E34.329

Billable

Unspecified genetic causes of short stature

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

Code Description

ICD-10 E34.329 is a billable code used to indicate a diagnosis of unspecified genetic causes of short stature.

Key Diagnostic Point:

Unspecified genetic causes of short stature refer to a range of conditions that result in a significantly lower height than expected for age and sex, attributed to genetic factors that are not specifically identified. Short stature can arise from various genetic syndromes, hormonal deficiencies, or chromosomal abnormalities. In children, growth is primarily regulated by growth hormone and other endocrine factors, and disruptions in these pathways can lead to growth abnormalities. Genetic causes may include conditions like Turner syndrome, Noonan syndrome, and other less common genetic disorders. The diagnosis often involves a comprehensive evaluation, including growth charts, family history, and possibly genetic testing to identify any underlying genetic anomalies. The complexity of this diagnosis lies in the broad spectrum of potential genetic causes, which may not be immediately apparent, necessitating thorough investigation and multidisciplinary management. Understanding the interplay between genetic factors and endocrine function is crucial for accurate diagnosis and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential genetic causes
  • Need for comprehensive diagnostic evaluation
  • Overlap with other growth disorders
  • Potential for misdiagnosis without genetic testing

Audit Risk Factors

  • Insufficient documentation of genetic testing
  • Lack of clear clinical rationale for diagnosis
  • Inconsistent use of growth charts
  • Failure to document family history

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth charts, family history, and results of any genetic testing.

Common Clinical Scenarios

Evaluation of children presenting with short stature and delayed puberty.

Billing Considerations

Ensure thorough documentation of growth patterns and any associated symptoms.

Endocrinology

Documentation Requirements

Hormonal assay results, imaging studies, and genetic testing outcomes.

Common Clinical Scenarios

Management of children with suspected growth hormone deficiency or other endocrine disorders.

Billing Considerations

Document the rationale for any hormonal treatments and follow-up growth assessments.

Coding Guidelines

Inclusion Criteria

Use E34.329 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include details of any genetic testing performed and the results
  • This code should be used when no specific genetic cause has been identified

Exclusion Criteria

Do NOT use E34.329 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

83001CPT Code

Growth hormone stimulation test

Clinical Scenario

Used to evaluate suspected growth hormone deficiency.

Documentation Requirements

Document the indication for the test and results.

Specialty Considerations

Endocrinologists should ensure that all relevant clinical data is included.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of genetic causes of short stature, enabling better tracking of these conditions and improving patient management through more precise data collection.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of genetic causes of short stature, enabling better tracking of these conditions and improving patient management through more precise data collection.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of genetic causes of short stature, enabling better tracking of these conditions and improving patient management through more precise data collection.

Resources

Clinical References

  • •
    Genetic Causes of Short Stature

Coding & Billing References

  • •
    Genetic Causes of Short Stature

Frequently Asked Questions

What should I document to support the use of E34.329?

Document the patient's growth history, any genetic testing performed, and the clinical rationale for the diagnosis. Include family history and any associated symptoms.