E89.5

E89.5: Postprocedural testicular hypofunction

Billable / specific codeICD-10-CM

E89.5 is a billable, specific ICD-10-CM code for postprocedural testicular hypofunction. It is valid for submission on a claim.

Check E89.5 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above E89.5

Not part of this code, but both may be coded when both are present.

Written on E89: Postprocedural endocrine and metabolic complications and disorders, not elsewhere classified

intraoperative complications of endocrine system organ or structure (E36.0-, E36.1-, E36.8)

Other codes that can never be billed with E89.5

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

E29.1Testicular hypofunction

Risk adjustment

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

Medicare coverage

E89.5 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57204Billing and Coding: MRI and CT Scans of the Head and Neck
A57615Billing and Coding: Treatment of Males with Low Testosterone
A58828Billing and Coding: Treatment of Males with Low Testosterone

Alphabetic index entries that lead here

Complication›surgical procedure›testicular hypofunction
Hypofunction›testicular›postprocedural(postsurgical) (postirradiation) (iatrogenic)
Complication›endocrine›postprocedural›testicular hypofunction

Code history

Unchanged in every release from FY2024 to FY2027.