2025 ICD-10-CM code E23
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Endocrine - Disorders of other endocrine glands (E20-E35) Endocrine, nutritional and metabolic diseases (E00-E89) Feed
Hypofunction and other disorders of the pituitary gland.
Modifiers may apply depending on the specific circumstances of service (e.g., place of service, type of visit). Consult your local payer guidelines for appropriate modifier use.
Medical necessity for coding E23 is established through the presence of clinical symptoms suggestive of pituitary hypofunction, confirmed by appropriate laboratory and imaging findings. Treatment, including hormone replacement therapy, is medically necessary to address hormone deficiencies and prevent associated complications.
Diagnosis and management of pituitary hypofunction involves a multidisciplinary approach.Endocrinologists play a crucial role in hormone testing, diagnosis, and management of hormone replacement therapy. Neurosurgeons may be involved if surgical intervention is necessary (e.g., for tumor removal). Other specialists may be needed depending on the specific symptoms and underlying conditions.
- Endocrine, nutritional and metabolic diseases (E00-E89)
- Disorders of other endocrine glands (E20-E35)
In simple words: This code refers to problems with the pituitary gland, a small gland in your brain that controls many other hormones.If it doesn't make enough hormones, you can have various symptoms depending on which hormone is affected. These can include headaches, tiredness, weight changes, vision problems, or sexual problems. Doctors diagnose this with blood tests and scans of the brain.
E23 in the ICD-10-CM classification encompasses hypofunction and other disorders of the pituitary gland.This includes underproduction of one or more pituitary hormones, potentially stemming from various causes such as tumors, injury, infections, surgery, medication, stroke, subarachnoid hemorrhage, metabolic disorders, or radiation. The clinical presentation varies depending on the specific hormone(s) affected, but may involve headaches, fatigue, weakness, weight loss, muscle pain, voice changes, cold intolerance, abdominal pain, sexual dysfunction, infertility, decreased blood pressure and blood sugar, vision problems, and altered thirst and urination.Diagnosis relies on patient history, physical examination, hormone blood tests (e.g., estradiol, cortisol, FSH, IGF-1, LH, testosterone, thyroid function tests), and brain imaging (CT or MRI).
Example 1: A 35-year-old female presents with amenorrhea, galactorrhea, and decreased libido.Hormone testing reveals low levels of FSH, LH, and prolactin.Brain MRI shows a pituitary adenoma.Code E23 is used to bill for the diagnosis and management of this case., A 60-year-old male presents with fatigue, weight loss, and decreased libido.He reports decreased energy levels and loss of muscle mass. Investigations show low levels of testosterone, and imaging reveals a pituitary microadenoma. Code E23 is used to bill for the evaluation and treatment., A 10-year-old child with short stature and delayed puberty undergoes comprehensive endocrine evaluation revealing deficiencies in growth hormone and other pituitary hormones.This requires extensive testing and ongoing monitoring, and E23 is used for billing purposes.
Detailed patient history including symptoms, onset, duration, and severity; results of laboratory tests (hormone levels, thyroid function tests); imaging studies (CT scan or MRI of brain) showing pituitary gland morphology, size and presence or absence of any lesion;treatment plan, including type and dosage of any hormone replacement therapy; progress notes documenting response to therapy.
** E23 is a broad code encompassing various pituitary disorders. Accurate coding necessitates detailed documentation of the specific hormones affected, underlying etiology, and associated clinical findings.
- Payment Status: Active
- Specialties:Endocrinology, Neurosurgery
- Place of Service:Office, Hospital, Ambulatory Surgical Center