Is E28.319 a billable ICD-10-CM code?

Yes. E28.319 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does E28.319 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 E28.319?

E28.319 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 E28.319 (E28.3, E28) and apply to it just the same.

E28.319

E28.319 — Asymptomatic premature menopause

Billable / specific codeICD-10-CM

E28.319 is a billable, specific ICD-10-CM code for asymptomatic premature menopause. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Premature menopause NOS

Excludes1 inherited from the categories above E28.319

These are not written on E28.319, but they bind it: a note on a category applies to every code beneath it. Billing E28.319 with anything listed here is a denial.

Written on E28.3 — Primary ovarian failure

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

Written on E28 — Ovarian dysfunction

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

Other codes that can never be billed with E28.319

These codes carry an Excludes1 note pointing at E28.319. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E28.319 alone.

N91Absent, scanty and rare menstruation

Risk adjustment

E28.319 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

E28.319 is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52421Billing and Coding: Ibandronate Sodium
A56421Billing and Coding: CT of the Abdomen and Pelvis
A57132Billing and Coding: Bone Mass Measurement
A57132Billing and Coding: Bone Mass Measurement

How E28.319 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 E28.319.

Menopause, menopausal›premature
Premature›menopause
Menopause, menopausal›premature›asymptomatic
Premature›menopause›asymptomatic

Code history

E28.319 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share E28.31. If E28.319 is not quite right, the correct code is usually one of these.

E28.310Symptomatic premature menopause

Questions about E28.319

Is E28.319 a billable ICD-10-CM code?: Yes. E28.319 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does E28.319 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 E28.319?: E28.319 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 E28.319 (E28.3, E28) and apply to it just the same.