icd-10 code for male hormone replacement therapy

by Golden Rempel 9 min read

890.

What is the ICD 10 code for hormone replacement therapy?

Hormone replacement therapy. Z79.890 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM Z79.890 became effective on October 1, 2019. This is the American ICD-10-CM version of Z79.890 - other international versions of ICD-10 Z79.890 may differ.

What is the cod code for male hormone therapy?

The best code that I could think to use for the male hormone therapy would be the Z79.899 (Other long term (current) drug therapy, with a supporting Dx. Hope this helps! I noticed in the optum360 books and on AAPC Coder, the symbol for female specific diagnosis is not attached.

What is the ICD 10 code for long term estrogen therapy?

2021 ICD-10-CM Diagnosis Code Z79.81 Long term (current) use of agents affecting estrogen receptors and estrogen levels 2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code Z79.81 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.

What is the CPT code for sex reassignment surgery?

Use code Z87.890 Personal history of sex reassignment for sex reassignment surgery (SRS) status. Codes 55970 and 55980 apply to surgery for newborns with ambiguous genitalia, as well.

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What is the ICD 10 code for testosterone therapy?

Z79. 890 - Hormone replacement therapy. ICD-10-CM.

What ICD 10 code will cover testosterone?

Z79. 890 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the ICD 10 code for androgen deprivation therapy?

818.

What is the ICD 10 code for low testosterone in male?

E29. 1 - Testicular hypofunction. ICD-10-CM.

What is the ICD-10 code for hormone replacement?

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 .

What diagnosis covers testosterone?

Testosterone testing is used to evaluate androgen excess or deficiency related to gonadal function, adrenal function, or tumor activity. Testosterone levels may be helpful in men for the diagnosis of hypogonadism, hypopituitarism, Klinefelter syndrome, and impotence (low values).

What is ICD-10 testicular hypofunction?

ICD-10 code E29. 1 for Testicular hypofunction is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .

What is intermittent androgen deprivation therapy?

Importance Androgen deprivation is the standard therapy for patients with advanced or recurrent prostate cancer. However, this treatment causes adverse effects, alters quality of life, and may lead to castration-resistant disease. Intermittent androgen deprivation has been studied as an alternative.

What is androgen deprivation therapy examples?

LHRH agonists and antagonists used in androgen deprivation therapy include leuprorelin (leuprolide), goserelin, triptorelin, histrelin, buserelin, and degarelix. These drugs are injected under the skin achieving the same result as surgical castration.

What is the ICD-10 code for erectile dysfunction?

ICD-10 code N52. 9 for Male erectile dysfunction, unspecified is a medical classification as listed by WHO under the range - Diseases of the genitourinary system .

What is the CPT code for testosterone?

Two CPT codes are used for each type such as: 84402: Testosterone, free. 84403: Testosterone, total.

What is R53 83?

ICD-9 Code Transition: 780.79 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.

What is the ICd 10 code for hormone replacement therapy?

Z79.890 is a billable diagnosis code used to specify a medical diagnosis of hormone replacement therapy. The code Z79.890 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code Z79.890 might also be used to specify conditions or terms like attends hormone replacement monitoring, female to male transsexual person on hormone therapy, female-to-male transsexual, hormone replacement monitoring check done, hormone replacement monitoring status , hormone replacement monitoring status, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.#N#The code Z79.890 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

What is estrogen replacement therapy?

ESTROGEN REPLACEMENT THERAPY-. the use of hormonal agents with estrogen like activity in postmenopausal or other estrogen deficient women to alleviate effects of hormone deficiency such as vasomotor symptoms dyspareunia and progressive development of osteoporosis. this may also include the use of progestational agents in combination therapy.

What is HRT in medical terms?

HRT: unopposed estrogen. Long-term current use of postmenopausal hormone replacement therapy. Long-term current use of steroid. Long-term current use of testosterone replacement therapy. Long-term current use of thyroid hormone replacement therapy. Male to female transsexual person on hormone therapy.

What is the code for inpatient admissions to general acute care hospitals?

The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals. The code Z79.890 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

Is it safe to take HRT every day?

Most are pills that you take every day, but there are also skin patches, vaginal creams, gels, and rings. Taking HRT has some risks. For some women, hormone therapy may increase their chances of getting blood clots, heart attacks, strokes, breast cancer, and gallbladder disease.

Is Z79.890 a POA?

Z79.890 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

What is the ICd 10 code for estrogen?

Long term (current) use of agents affecting estrogen receptors and estrogen levels 1 Z79.81 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 2 Short description: Lng trm (crnt) use of agnt aff estrog recpt & estrog levels 3 The 2021 edition of ICD-10-CM Z79.81 became effective on October 1, 2020. 4 This is the American ICD-10-CM version of Z79.81 - other international versions of ICD-10 Z79.81 may differ.

What is a code title?

Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes.

Is Z79.81 a billable code?

Long term (current) use of agents affecting estrogen receptors and estrogen levels. 2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code. Z79.81 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.

Questionable Efficiency of HRT

Thousands of specialists recommend hormone replacement therapy thanks to its health benefits. The female body loses huge amounts of estrogen and it causes a hormonal imbalance. It leads to multiple health deviations, which lower the quality of life and may badly damage women’s health.

Safety and Adverse Reactions of HRT

Another important aspect related to hormone replacement therapy is its safety. This methodology may induce various health deviations. Many clinical trials and post-production usage prove this claim. Firstly, many women show great concern about the possibility of having breast cancer. Scientists and physicians claim that the risk is minimal.

ICD 10 Code for HRT: Risk Factors and Precautions

Hormone replacement therapy may not suit you because of your health conditions. If you have or used to have certain diseases, the ICD 10 code for HRT will endanger your health. The common risk factors are:

ICD 10 Code for HRT: Types

While we discuss the ICD 10 code for hormone replacement therapy, it’s necessary to review its types. It has four major types:

Summing Up

Now it’s time to summarize the main facts about the ICD 10 code for HRT. You may choose several types of this unique therapy. Each has certain benefits and drawbacks. The efficiency is different for all women and it’s not always safe. Therefore, you should assess all the potential risks before you try any HRT type.

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

Gender Dysphoria (GD) is defined by the Diagnostic and Statistical Manual of Mental Disorders - Fifth Edition, DSM-5™ as a condition characterized by the "distress that may accompany the incongruence between one’s experienced or expressed gender and one’s assigned gender" also known as “natal gender”, which is the individual’s sex determined at birth.

Bill Type Codes

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.

Revenue Codes

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.

What are the codes for gender dysphoria?

Although there is no specific procedure code for people diagnosed with gender dysphoria who are choosing to transition, there are two CPT® codes that pertain to intersex surgery:#N#55970 Intersex surgery; male to female#N#55980 Intersex surgery; female to male#N#Codes 55970 and 55980 apply to surgery for newborns with ambiguous genitalia, as well.#N#Although not a comprehensive list, here are common procedures performed during gender transition surgery:#N#Vaginectomy (FTM) – Look to codes such as 58275 Vaginal hysterectomy, with total or partial vaginectomy, 57111 Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy), etc.#N#Urethroplasty (MTF and FTM) – Look to applicable CPT® codes 53410 – 53430.#N#Phalloplasty (FTM) – 55899 Unlisted surgery of the male genital system, for metoidioplasty and phalloplasty#N#Scrotoplasty (MTF) – 55175 Scrotoplasty; simple and 55180 Scrotoplasty; complicated#N#Penectomy (MTF) – 54125 Amputation of penis; complete#N#Vaginoplasty (MTF) – 57335 Vaginoplasty for intersex state#N#Labiaplasty (MTF) – 56625 Vulvectomy simple; complete#N#Clitoroplasty (MTF) – 56805 Clitoroplasty for intersex state#N#There are also surgical procedures associated with intersex surgery that payers typically consider to be cosmetic:#N#Abdominoplasty – 15830 Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy#N#Blepharoplasty – 15822 Anesthesia for reconstructive procedures of eyelid (eg, blepharoplasty, ptosis surgery)#N#Otoplasty – 69300 Otoplasty, protruding ear, with or without size reduction#N#Rhinoplasty – 30410 Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of nasal tip#N#Genioplasty – 21120 Genioplasty; augmentation (autograft, allograft, prosthetic material)#N#Rhytidectomy – 15828 Rhytidectomy; cheek, chin, and neck

What is transgender medical?

Transgender is a broad term used for people whose gender identity or gender expression differs from their assigned sex at birth. Proper diagnosis and procedural coding of transgender medical services begins with understanding the spectrum of gender identity variations.

When was transgender health first published?

1979 – The first standards of care for transsexuals were published by the Harry Benjamin International Gender Dysphoria Association, now known as the World Professional Association of Transgender Health. 1980 – Transsexualism was included in the third edition of the DSM (DSM-III).

When did transgender surgery start?

Although gender dysphoria has been around throughout history, transgender surgery only began in the early 1900s. Here is a time line of its progress in the medical field: 1930 – Under the care of Magnus Hirschfeld, Lili Elbe became the first person to undergo transsexual surgery.

Is there a definition of transgender?

Although there is no universally accepted definition of the word “transgender,” here are some terms you should know when coding patients with gender dysphoria: Bigendered — Individuals who identify as both or alternatively male and female, as no gender, or as a gender outside the male or female binary.

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