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2025 ICD-10-CM code E29.1

Testicular hypofunction, a condition where the testicles do not produce enough hormones, primarily testosterone.

Do not use E29.1 with postprocedural testicular hypofunction (E89.5).Additional codes may be needed to specify underlying causes or associated conditions.

Medical necessity for services related to testicular hypofunction hinges on demonstrating the clinical significance of the hormonal deficiency and its impact on the patient's health and quality of life.This may involve documenting symptoms, functional limitations, and the rationale for chosen treatment strategies like hormone replacement therapy.

Clinicians diagnose testicular hypofunction based on patient history, symptoms, physical exams, and blood tests for testosterone levels. Further investigation with MRI might be necessary to rule out pituitary gland tumors. Treatment decisions, including hormone replacement therapy, depend on the severity of testosterone deficiency.

In simple words: Testicular hypofunction means the testicles aren't making enough hormones, mainly testosterone. This can cause low sex drive, erection problems, trouble having kids, tiredness, and other issues.It could be due to infections, injuries, or other medical problems. Doctors can diagnose it with tests and sometimes prescribe hormone therapy.

Testicular hypofunction encompasses insufficient hormone production by the testes, especially testosterone. This can manifest as decreased libido, erectile dysfunction, infertility, reduced muscle mass, fatigue, depression, osteoporosis, and gynecomastia.It can stem from infections, testicular injury, pituitary gland tumors, or genetic abnormalities. Diagnosis involves physical examination, symptom assessment, testosterone blood tests, and potentially brain MRI for pituitary evaluation. Treatment may include hormone replacement therapy depending on testosterone levels.

Example 1: A 40-year-old male presents with fatigue, reduced libido, and erectile dysfunction. Blood tests reveal low testosterone levels, leading to a diagnosis of testicular hypofunction (E29.1)., A 20-year-old male experiencing delayed puberty exhibits underdeveloped secondary sexual characteristics.After hormonal evaluation, he is diagnosed with testicular hypofunction (E29.1)., A male patient with a history of testicular injury now presents with symptoms suggestive of hormonal imbalance. Diagnostic testing confirms testicular hypofunction (E29.1).

Documentation should include details of the patient's symptoms (e.g., reduced libido, erectile dysfunction, fatigue), physical examination findings, results of hormonal blood tests (testosterone, LH), and imaging results (if applicable, such as MRI of the brain to evaluate pituitary gland). Any history of relevant conditions like infections, trauma, or genetic disorders should also be documented.

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