E28.2 — Polycystic ovarian syndrome
E28.2 is a billable, specific ICD-10-CM code for polycystic ovarian syndrome. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Sclerocystic ovary syndrome
- Stein-Leventhal syndrome
Other codes that can never be billed with E28.2
These codes carry an Excludes1 note pointing at E28.2. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E28.2 alone.
- N83.2Other and unspecified ovarian cysts
Risk adjustment
E28.2 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
E28.2 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53026Billing and Coding: Bariatric Surgery Coverage
- A56421Billing and Coding: CT of the Abdomen and Pelvis
How E28.2 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to E28.2.
- Sclerocystic ovary syndrome
- Stein-Leventhal syndrome
- Stein's syndrome
- Polycystic›ovary, ovaries
- Syndrome›bilateral polycystic ovarian
- Syndrome›sclerocystic ovary
- Syndrome›Stein-Leventhal
- Syndrome›Stein's
- Virilization›isosexual
- Disease, diseased›ovary›polycystic
- Disease, diseased›polycystic›ovary, ovaries
- Syndrome›ovary›polycystic
Related codes at this level
Codes that share E28. If E28.2 is not quite right, the correct code is usually one of these.
Questions about E28.2
- Is E28.2 a billable ICD-10-CM code?
- Yes. E28.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does E28.2 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Disorders of other endocrine glands (E20-E35).