E89.5 — Postprocedural testicular hypofunction
E89.5 is a billable, specific ICD-10-CM code for postprocedural testicular hypofunction. It is valid for submission on a claim.
Other codes that can never be billed with E89.5
These codes carry an Excludes1 note pointing at E89.5. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E89.5 alone.
- E29.1Testicular hypofunction
Risk adjustment
E89.5 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
E89.5 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
How E89.5 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 E89.5.
- Complication›surgical procedure›testicular hypofunction
- Hypofunction›testicular›postprocedural(postsurgical) (postirradiation) (iatrogenic)
- Complication›endocrine›postprocedural›testicular hypofunction
Related codes at this level
Codes that share E89. If E89.5 is not quite right, the correct code is usually one of these.
- E89.0Postprocedural hypothyroidism
- E89.1Postprocedural hypoinsulinemia
- E89.2Postprocedural hypoparathyroidism
- E89.3Postprocedural hypopituitarism
- E89.4Postprocedural ovarian failure
- E89.6Postprocedural adrenocortical (-medullary) hypofunction
- E89.8Other postprocedural endocrine and metabolic complications and disorders
Questions about E89.5
- Is E89.5 a billable ICD-10-CM code?
- Yes. E89.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does E89.5 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Postprocedural endocrine and metabolic complications and disorders, not elsewhere classified (E89).