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Male Extrogen Excess Dx Code

Jamie Posted Thu 15th of August, 2019 13:13:50 PM
When a provider diagnoses a patient with Estrogen Excess, they use E28.0 ,which is a female dx only! There is not one specific dx for males for Estrogen Excess. Would R79.89 - Finding of other specified substances, not normally found in blood...be appropriate to code? If not, what would be the dx code for Male Estrogen Excess?Thank you for clarifying.
SuperCoder Answered Fri 16th of August, 2019 05:53:25 AM

Hi,

 

Estrogen is a type of hormone and also called primary female sex hormone. It is responsible for the development and regulation of the female reproductive system and secondary sex characteristics.Men produce estrogen as well, but at lower levels than women. Estrogen in males is secreted by the adrenal glands and by the testes. In men, estrogen is thought to affect sperm count.

 

The appropriate ICD-10CM code for Estrogen Excess (male) will depend upon from where sample had been taken. Please check your documentation for sample collection and code accordingly

 

On the basis of documentation, following are the suggested codes:

R86.1 - Abnormal level of hormones in specimens from male genital organs

R89.1 - Abnormal level of hormones in specimens from other organs, systems and tissues

 

Hope this is helpful!

 

Thanks

Jamie Posted Fri 16th of August, 2019 15:47:06 PM
Would R89.1 - Abnormal level of hormones in specimens from other organs, systems and tissues apply to the blood draw? I wasn't sure that's why I originally thought R79.89 - Finding of other specified substances, not normally found in blood might be more appropriate. Please advise. Thank you
SuperCoder Answered Mon 19th of August, 2019 03:59:21 AM

Hi,

 

Appropriate ICD-10CM code for ‘Finding of other specified substances, not normally found in blood’ is R78.89, whereas R79.89 is used for ‘Other specified abnormal findings of blood chemistry’.

Estrogen is considered to be the 'female' hormone, whereas testosterone is considered the 'male' hormone. However, both hormones are present in both sexes. Men also have estrogen, although their levels are usually lower than they are in women. Estrogen levels that are too low or too high in men can lead to health problems.

In males, estrogen is always present in low concentrations in blood. So, it would be incorrect to code with ‘substances not normally found in blood’.

If provider using blood sample by drawing, then ICD R79.89 (Other specified abnormal findings of blood chemistry) will be appropriate.

 

Thanks

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