ICD 10 CM E28.1 | Description & Clinical Information
ICD 10 E28.1 describes a medical condition known as androgen excess or hyperandrogenism, which is characterized by an overproduction of androgen hormones due to ovarian dysfunction, leading to a range of symptoms such as acne, hirsutism, menstrual irregularities, and infertility.
Official Description Of E28.1
The ICD 10 CM book defines ICD 10 code E28.1 as:
Excludes1: isolated gonadotropin deficiency (E23.0)
postprocedural ovarian failure (E89.4-)
Clinical Information
The diagnosis describes by the ICD 10 E28.1 code pertains to a hormonal disorder characterized by an excess of androgens in the body. Androgens are sex hormones predominantly found in men but are also present in women. These hormones are produced in the ovaries and adrenal glands. The ovaries, which are part of the female reproductive system, secrete estrogen and androgens, including progesterone and testosterone.
Patients with androgen excess may experience negative effects on their physical health and appearance, including male-like characteristics such as facial and chest hair, a receding hairline, and a deepening of the voice. Female patients may also experience irregular menstrual cycles or the cessation of menses, infertility, weight gain, high blood pressure, elevated blood sugar and insulin resistance, high cholesterol, and acne.
Medical professionals diagnose the condition based on several factors, including the patient’s medical history, the presence of signs and symptoms, and a physical examination. Diagnostic tests typically include measuring the levels of androgens in the blood and urine of patients. Medical professionals may also conduct endocrine tests, such as dehydroepiandrosterone sulfate (DHEAS) tests to help identify the site of abnormal androgen secretion, as well as thyroid function tests.
The most common treatment for androgen excess involves hormone replacement therapy, which includes a combination of estrogen and progestin or simply estrogen alone. These medications work to help suppress androgen production in the body, thus alleviating the patient’s symptoms. In some cases, patients may be prescribed glucocorticoids to further suppress androgen production.
It is essential for medical coders to have a clear understanding of the ICD 10 E28.1 code and the condition it represents to correctly assign diagnoses and codes for patient medical bills and records. By having a comprehensive understanding of this condition, medical coders can help ensure that patients receive accurate diagnoses and the necessary medical treatments for their condition.
