This article outlines the causes, symptoms, diagnosis, treatment and ICD 10 CM codes for Hypogonadism.
Hypogonadism ICD 10 Causes
Hypogonadism ICD 10 can be reported when a patients sufferers from symptoms of Hypogonadism. Male hypogonadism means that the testicles do not produce enough of the male sex hormone testosterone.
There are two basic types of hypogonadism ICD 10. This type of hypogonadsism, also known as primary testicular failure, is caused by problems with the testicles.
This type indicates a problem with the hypothalamus and pituitary glands, the parts of the brain that the testicles signal to produce testosterone.
The hypothalamus produces gonadotropin-releasing hormone that signals the pituitary gland to form FSH and luteinizing hormone (LH) follicle stimulating hormone. LH signals the testicles to produce testosterone.
In the course of time, primary and secondary hypogonadism may occur. Some types of hypogonadism ICD 10 are caused by innate congenital traits that occur early in life or are acquired through such injuries or infections.
The most common cause of primary hypogonadism is Klinefelter syndrome.
The disease results from congenital malformations of the sex chromosomes X and Y. In this condition there are two or more X chromosomes in addition to one Y chromosome.
The X chromosome contains the genetic material that determines sex and infant development. The additional X chromosome which occurs in this condition causes an abnormal development of the testicles which in turn leads to underproduction of testosterone. Males have an X and a Y chromosome.
The most common cause of primary hypogonadism ICD 10 is raised testicles. At birth, the testicles develop normally in the abdomen and shift to their fixed place in the scrotum. However, one or both testicles must not descend at birth.
The most common cause of primary hypogonadism ICD 10 is hemochromatosis. If the disease is not corrected in early childhood, it can lead to testicular dysfunction and reduced testosterone production.
The condition can be corrected by treatment in the first years of life. Another cause of the disease is mumps or orchitis. Mumps is a testicular infection that can occur in adolescence or adulthood, and damage to the testicles can affect testicle function and testosterone production.
Too much iron in the blood can cause testicular failure and pituitary dysfunction, which can affect testosterone production. Testicular injuries are a common cause of primary hypogonadism.
Testicles in the abdomen, and they are prone to injury. Damage to one or both testicles, however, does not affect total testosterone production. Damage to both testicles can lead to hypogondism.
Cancer treatment is the most common cause of primary hypogonadism. Chemotherapy and radiotherapy (cancer treatment) can affect testosterone and sperm production.
The effects of these treatments may be temporary, but permanent infertility may occur. Many men regain their fertility within a few months of treatment in order to obtain sperm, but the onset of cancer therapy may be an option for some men.
In secondary hypogonadism, the testicles are normal but do not function normally due to problems with the pituitary gland and hypothalamus. There are a number of conditions that can cause this condition. Kallmanns syndrome is the most common cause of this disorder.
There is an abnormal development in the areas of the brain that control the secretion of pituitary hormones from the hypothalamus. This impairs the ability to smell (anosmia) and can lead to red-green colour blindness.
The most common cause of secondary hypogonadism ICD 10 is pituitary gland disorder. An abnormality in the pituitary gland impairs the release of hormones from the gland into the testicles, which can impair normal testosterone production.
Pituitary tumors and other types of brain tumors located in or near the pituitary gland can also cause testosterone and other hormone deficits.
Treatment of a brain tumour, such as surgery or radiotherapy, which affects the pituitary gland, can also cause hypogonadism ICD 10. Inflammatory diseases are a common cause of secondary hypogondism.
Certain inflammation disorders such as Sarcoidosis, Histiocytosis and tuberculosis affecting the hypothalamus, pituitary gland and testicles can affect testosterone production.
HIV / AIDS can also cause low testosterone levels that affect both the pituitary hypothalamus and testicles. Another cause of this condition is medication.
Hypogonadism ICD 10 Symptoms
To report Hypogonadism ICD 10, the provider need to look at the symptoms of the patient. The use of certain medications such as opioids, painkillers or hormones can affect testosterone production.
The symptoms that occur in men include:
- Hair loss
- Muscle loss
- Abnormal breast growth
- Decreased penis and testicular growth
- Erectile dysfunction
- Low or lack of sexual drive
- Infertility, fatigue
- Hot flashes
- Trouble concentrating
Obesity can also cause secondary hypogonadism. Obesity or ageing are also associated with hypogondism.
Symptoms that occur in women include lack of menstruation, slow or absent breast growth and hot flashes, loss of body hair, low or absent sexual drive and milky discharge from the breasts.
Hypogonadism ICD 10 Diagnosis
The doctor may assess the symptoms through a physical exam before Hypogonadism ICD 10 is reported. The doctor may also perform an X-ray or other imaging examination.
The patient gets a blood test in the morning when hormone levels are at their highest. The test will check the levels of sex hormones, thyroid hormone, prolactin, pituitary hormone and iron. The patient can also get one or more tests daily. Women should also undergo pelvic exams.
An MRI or CT scan to detect tumours on the pituitary gland or brain. Ultrasound for examination of problems with ovarian cysts or polycystic ovary syndrome (PCOS). A test to measure sperm count.
Hypogonadism ICD 10 Treatment
After Hypogonadism ICD 10 is diagnosed, treatment to the patient need to be provided. Testosterone replacement therapy (TRT) is the most commonly recommended treatment for male hypogonadism.
TRT is given as a topical gel, transdermal patch or injection. Oral forms of testosterone are not used and have a higher risk of side effects such as upset stomach.
TRT eliminates many, if not all, signs and symptoms of male hypogonadism ICD 10. Benefits include increased libido and mood, increased bone mineral density, and overall improved quality of life. However, there are some risks associated with TRT.
TRT can lead to the worsening of BPH ( benign prostatic hyperplasia ), the acceleration of existing prostate cancer and the worsening of sleep apnea and heart failure.
Men who use TRT require ongoing medical evaluation to determine an appropriate response to treatment. This includes regular blood tests and regular digital rectal examinations. The TRT should not be started without taking care of these conditions.
TRT in men with erythrocytosis is contraindicated as a disease involving a large volume and high percentage of red blood cells in the blood. It is worth mentioning that while TRT can alleviate the symptoms of hypogonadism, it does not restore fertility.
The response to TRT is personalized and testosterone levels are not an indicator of who is responding and who is not to treatment.
List With ICD 10 CM Codes For Hypogonadism
ICD 10 CM E29.1: Testicular hypofunction
- Defective biosynthesis of testicular androgen NOS
- 5-delta-Reductase deficiency (with male pseudohermaphroditism)
- Testicular hypogonadism NOS
ICD 10 CM E28.39: Hypogonadism female
ICD 10 CM E23.0: Hypogonadotropic Hypogonadism
ICD 10 CM E29.1: Hypogonadism Male
ICD 10 CM E28.39: Ovarian Hypogonadism (primary)
ICD 10 CM E23.0: Pituitary Hypogonadism