E28.3

E28.3: Primary ovarian failure

Non-billable headerICD-10-CM

E28.3 is a non-billable header ICD-10-CM code for primary ovarian failure. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

pure gonadal dysgenesis (Q99.1)
Turner's syndrome (Q96.-)

Excludes1 inherited from the categories above E28.3

A category’s note binds every code beneath it.

Written on E28: Ovarian dysfunction

isolated gonadotropin deficiency (E23.0)
postprocedural ovarian failure (E89.4-)

Other codes that can never be billed with E28.3

Their own Excludes1 notes name this code, so the conflict is not listed above.

N91Absent, scanty and rare menstruation
N95Menopausal and other perimenopausal disorders
N95.1Menopausal and female climacteric states

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead E28.3

2 child codes. Green means billable.