E29.1
E29.1: Testicular hypofunction
Billable / specific codeICD-10-CM
E29.1 is a billable, specific ICD-10-CM code for testicular hypofunction. It is valid for submission on a claim.
Check E29.1 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- postprocedural testicular hypofunction (E89.5)
Use additional code
Add a secondary code to capture the detail described below.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Defective biosynthesis of testicular androgen NOS
- 5-Alpha-reductase deficiency (with male pseudohermaphroditism)
- Testicular hypogonadism NOS
Excludes1 inherited from the categories above E29.1
A category’s note binds every code beneath it.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
E29.1 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57615Billing and Coding: Treatment of Males with Low Testosterone
- A58828Billing and Coding: Treatment of Males with Low Testosterone
Alphabetic index entries that lead here
- Eunuchoidism
- Panhypogonadism
- Abnormal, abnormality, abnormalities›biosynthesis, testicular androgen
- Defect, defective›biosynthesis, androgen(testicular)
- Deficiency, deficient›5-alpha reductase(with male pseudohermaphroditism)
- Failure, failed›Leydig's cell, adult
- Failure, failed›seminiferous tubule, adult
- Failure, failed›testicular endocrine function
- Hypofunction›testicular
- Hypogonadism›male
- Hypogonadism›testicular(primary)
- Infantile›testis
Code history
Unchanged in every release from FY2024 to FY2027.