Effective for dates of service on or after May 1, 2010, CPT code 84146 (prolactin level testing) is reimbursable when billed in conjunction with one of the following updated ICD-9-CM diagnosis codes: 242.90, 242.91, 250.40 – 250.43, 403.00 – 403.91, 404.00 – 404.93, 405.01 – 405.99 and 676.00 – 676.94.
Hyperprolactinemia (high prolactin hormone level); code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) ICD-10-CM Diagnosis Code D35.2 [convert to ICD-9-CM] Benign neoplasm of pituitary gland
Relatively common etiologies include prolactinoma, medication effect, kidney failure, granulomatous diseases of the pituitary gland, and disorders which interfere with the hypothalamic inhibition of prolactin release. Ectopic (non-pituitary) production of prolactin may also occur. (from Joynt, Clinical Neurology, 1992, ch36, pp77-8)
Short description: Abn clinical finding NEC. ICD-9-CM 796.4 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 796.4 should only be used for claims with a date of service on or before September 30, 2015.
253.1ICD-9 Code 253.1 -Other and unspecified anterior pituitary hyperfunction- Codify by AAPC.
E22. 1 - Hyperprolactinemia | ICD-10-CM.
E22. 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 E22.
Sometimes, however, prolactin levels are high at other times; this condition is called hyperprolactinemia. Hyperprolactinemia predominately affects women, but it can cause infertility, decreased sex drive, and bone loss in both sexes.
If prolactin levels are higher than normal, it often means there is a type of tumor of the pituitary gland, known as a prolactinoma. This tumor makes the gland produce too much prolactin. Excess prolactin can cause the production of breast milk in men and in women who are not pregnant or breastfeeding.
Prolactin is a hormone released by the pituitary gland. The pituitary is a small gland at the base of the brain. It regulates the body's balance of many hormones. Prolactin stimulates breast development and milk production in women.
A prolactinoma is a type of tumor that develops in the pituitary gland at the base of your brain. Prolactinoma is a noncancerous tumor of the pituitary gland. This tumor causes the pituitary gland to make too much of a hormone called prolactin.
2: Benign neoplasm: Pituitary gland.
Endocrine system Hypopituitarism is a rare disorder in which your pituitary gland fails to produce one or more hormones, or doesn't produce enough hormones. The pituitary gland is a kidney-bean-sized gland situated at the base of your brain.
Hyperprolactinemia means you have higher-than-normal levels of prolactin in your blood. The most common cause is a prolactinoma, a benign (noncancerous) tumor in your pituitary gland. Certain health conditions and medications can also cause hyperprolactinemia.
Symptoms include irregular or absent menstrual periods, infertility, menopausal symptoms (hot flashes and vaginal dryness), and, after several years, osteoporosis (thinning and weakening of the bones). High prolactin levels can also cause milk discharge from the breasts.
Recent research suggests that hyperprolactinemia causes an abnormal lipid profile, weight gain, and cardiovascular diseases. Moreover, high prolactin levels lead to decreased testosterone production by disrupting 17-b-estradiol synthesis.
Prolactin levels also get higher during times of physical or emotional stress. Many medicines can cause prolactin levels to go up. Tumors of the pituitary gland can sometimes cause prolactin to be made. A damaged pituitary gland may not be able to make normal amounts of prolactin so levels will be lower.
Typically, hyperprolactinemia is treatable. Treatment will depend on what's causing excess prolactin secretion. If you have a tumor, you may need surgery to remove the tumor and return your pituitary gland to normal.
Too much prolactin can also inhibit the secretion of follicle-stimulating hormone (FSH) — the hormone that stimulates the ovarian follicles to mature. Without FSH, there's no ovulation — and without ovulation, it's impossible to get pregnant.
Also vitamin D deficiency in prolactinoma patients associated with larger adenoma size and higher prolactin level. Finally, 25-hydroxyvitamin D level was a statistically significant predictor of prolactinoma size but not prolactin levels.
Relatively common etiologies include prolactinoma, medication effect, kidney failure, granulomatous diseases of the pituitary gland, and disorders which interfere with the hypothalamic inhibition of prolactin release.
In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere.". Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code.