2025 ICD-10-CM code E89.4
Postprocedural ovarian failure.This condition refers to the ovaries' inability to produce eggs or hormones like estrogen and progesterone after a medical procedure.
Medical necessity for treating postprocedural ovarian failure stems from the hormonal deficiencies and associated symptoms.Estrogen therapy, for example, is medically necessary to mitigate the effects of estrogen deficiency, such as preventing osteoporosis and managing hot flashes, which significantly impact quality of life.
Healthcare providers diagnose postprocedural ovarian failure based on medical history, symptoms, a physical exam, and lab tests (blood and urine) checking hormone levels like FSH, estradiol, and prolactin. Treatment focuses on managing symptoms caused by hormonal deficiencies, often with estrogen therapy to help prevent osteoporosis and hot flashes.
In simple words: Postprocedural ovarian failure means the ovaries can't release eggs or make hormones like estrogen and progesterone after a medical treatment like surgery, chemotherapy, or radiation.
Postprocedural ovarian failure is the inability of the ovaries to function properly, specifically to produce oocytes (eggs) or the hormones estrogen or progesterone, due to a prior medical procedure. These procedures can include surgery, chemotherapy, or radiation therapy.
Example 1: A 35-year-old female patient undergoes radiation therapy for pelvic cancer. Subsequently, she experiences premature menopause due to postprocedural ovarian failure (E89.4)., A 28-year-old woman receives chemotherapy for breast cancer and later develops postprocedural ovarian failure (E89.4), resulting in infertility., A 45-year-old woman has both ovaries surgically removed (oophorectomy) due to ovarian cysts. As a direct result, she experiences postprocedural ovarian failure (E89.4) and associated symptoms.
Documentation should include the type of procedure that led to ovarian failure (surgery, chemotherapy, radiation therapy), the patient's symptoms (e.g., infertility, hot flashes, mood changes), results of hormone level tests (FSH, estradiol, prolactin), and the treatment plan.
** For accurate coding, it's essential to establish a clear causal link between the procedure and the ovarian failure.
- Specialties:Endocrinology, Gynecology, Oncology, Reproductive Endocrinology, Internal Medicine.