LH (luteinizing hormone), together with FSH (follicle-stimulating hormone), belongs to the gonadotropin family. LH and FSH regulate and stimulate the growth and function of the gonads (ovaries and testes) synergistically. 2-4 Like FSH, TSH, and hCG, LH is a glycoprotein consisting of two subunits (α- and β-chains).
Hypopituitarism. E23.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM E23.0 became effective on October 1, 2018. This is the American ICD-10-CM version of E23.0 - other international versions of ICD-10 E23.0 may differ.
R89.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM R89.1 became effective on October 1, 2021. This is the American ICD-10-CM version of R89.1 - other international versions of ICD-10 R89.1 may differ.
For pre-pubertal patients, the Quest Diagnostics LH, Pediatrics assay is recommended (test code 36086). Alternative Name(s) Lutropin,Luteinizing Hormone (LH),Interstitial Cell Stimulating Hormone
FSH (CPT 83001) and LH (CPT 83002) should only be ordered when medically indicated, based upon the patient evaluation. Gonadotropin level tests ordered for screening or non-indicated disease processes, such as infertility, are not reimbursable.
ICD-10-CM Code for Endocrine disorder, unspecified E34. 9.
2022 ICD-10-CM Diagnosis Code R87. 1: Abnormal level of hormones in specimens from female genital organs.
9: Endocrine disorder, unspecified.
Code R53. 83 is the diagnosis code used for Other Fatigue. It is a condition marked by drowsiness and an unusual lack of energy and mental alertness. It can be caused by many things, including illness, injury, or drugs.
ICD-10 code R79. 89 for Other specified abnormal findings of blood chemistry is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
ICD-10 code Z79. 890 for Hormone replacement therapy is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
ICD-10 code O02. 81 for Inappropriate change in quantitative human chorionic gonadotropin (hCG) in early pregnancy is a medical classification as listed by WHO under the range - Pregnancy, childbirth and the puerperium .
The 2022 edition of ICD-10-CM E28. 39 became effective on October 1, 2021. This is the American ICD-10-CM version of E28.
R53. 81: “R” codes are the family of codes related to "Symptoms, signs and other abnormal findings" - a bit of a catch-all category for "conditions not otherwise specified". R53. 81 is defined as chronic debility not specific to another diagnosis.
Code D64. 9 is the diagnosis code used for Anemia, Unspecified, it falls under the category of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism.
Menopausal and female climacteric states N95. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM N95. 1 became effective on October 1, 2021.
The determination of LH in conjunction with FSH is utilized for the following indications: congenital diseases with chromosome aberrations (eg, Turner syndrome), polycystic ovaries (PCO), clarifying the causes of amenorrhea, menopausal syndrome, and suspected Leydig cell insufficiency. 2,5,6
LH and FSH regulate and stimulate the growth and function of the gonads (ovaries and testes) synergistically. 2-4 Like FSH, TSH, and hCG, LH is a glycoprotein consisting of two subunits (α- and β-chains). This proteohormone, which consists of 121 amino acids 3 and three sugar chains, has a molecular weight of 29,500 daltons. 4
LH measurement may also be of clinical importance because growth hormone and LH are frequently the first hormones to be affected by pituitary disease.
Here the gonadotropins stimulate the growth and maturation of the follicle and hence the biosynthesis of estrogens and progesterones. The highest LH-concentrations occur during the midcycle peak and induce ovulation and formation of the corpus luteum, the principal secretion product of which is progesterone.
In the Leydig cells of the testes, LH stimulates the production of testosterone.
Secretion of both LH and FSH are pulsatile, in response to the normal intermittent release of gonadotropin-releasing hormone (GnRH). In addition, in females, both FSH and LH vary over the course of the menstrual cycle, with peaks at time of ovulation. Thus, interpretation of a single determination may be difficult.
The 2022 edition of ICD-10-CM E23.0 became effective on October 1, 2021.
Diminution or cessation of secretion of one or more hormones from the anterior pituitary gland (including lh; follicle stimulating hormone; somatotropin; and corticotropin). This may result from surgical or radiation ablation, non-secretory pituitary neoplasms, metastatic tumors, infarction, pituitary apoplexy, infiltrative or granulomatous processes, and other conditions.
A form of dwarfism caused by complete or partial growth hormone deficiency, resulting from either the lack of growth hormone-releasing factor from the hypothalamus or from the mutations in the growth hormone gene (gh1) in the pituitary gland. It is also known as type i pituitary dwarfism.
An x-linked or autosomal dominant genetic syndrome characterized by hypogonadotropic hypogonadism and anosmia.
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
This First Coast Billing and Coding Article for Local Coverage Determination (LCD) L33685 Luteinizing Hormone-Releasing Hormone (LHRH) Analogs provides billing and coding guidance for frequency limitations as well as diagnosis limitations that support diagnosis to procedure code automated denials.
The following ICD-10-CM codes support medical necessity and provide limited coverage for HCPCS code: J1950.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.
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LH - This test is useful in the differential diagnosis of pituitary and gonadal insufficiency and in children with precocious puberty.
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