Is E28.3 a billable ICD-10-CM code?

No. E28.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does E28.3 sit in the tabular list?

Endocrine, nutritional and metabolic diseases (E00-E89), in the block Disorders of other endocrine glands (E20-E35).

What cannot be coded together with E28.3?

E28.3 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above E28.3 (E28) and apply to it just the same.

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

These are not written on E28.3, but they bind it: a note on a category applies to every code beneath it. Billing E28.3 with anything listed here is a denial.

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

These codes carry an Excludes1 note pointing at E28.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E28.3 alone.

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

Risk adjustment

E28.3 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.

Code history

E28.3 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead E28.3

2 child codes. Green means billable.

Related codes at this level

Codes that share E28. If E28.3 is not quite right, the correct code is usually one of these.

Questions about E28.3

Is E28.3 a billable ICD-10-CM code?: No. E28.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does E28.3 sit in the tabular list?: Endocrine, nutritional and metabolic diseases (E00-E89), in the block Disorders of other endocrine glands (E20-E35).
What cannot be coded together with E28.3?: E28.3 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above E28.3 (E28) and apply to it just the same.