PCOS ICD 10 Code

Refresher: What are ICD 10 Codes?

ICD-10 codes, or International Classification of Diseases, 10th Revision codes, are a standardized system used for medical classification and coding of diagnoses, symptoms, and procedures. The World Health Organization (WHO) maintains these codes, allowing them to be widely used worldwide.

What is the ICD 10 Code for PCOS?

The ICD 10 code for Polycystic Ovary Syndrome (PCOS) is E28.2. This code falls under the category "Disorders of other endocrine glands" within Chapter IV: Endocrine, nutritional, and metabolic diseases of the ICD-10 coding system.

Under the ICD-10 code E28.2 for PCOS, the following conditions and symptoms related to PCOS include:

  • Polycystic ovarian syndrome (Stein-Leventhal syndrome)
  • Hyperandrogenism
  • Menstrual disturbances, such as irregular or absent periods (oligomenorrhea or amenorrhea)
  • Anovulation
  • Ovarian cysts (polycystic ovaries)
  • Insulin resistance
  • Hyperinsulinemia
  • Obesity or weight gain
  • Hirsutism (excessive hair growth on the face, chest, back, etc.)
  • Acne or oily skin
  • Acanthosis nigricans (dark, velvety skin patches)
  • Infertility or difficulty conceiving

Primary PCOS ICD 10 Code: E28.2

Primary PCOS ICD code C28.2 lookup

Below is a table of the ICD PCOS codes for primary PCOS. These codes fall under E28.2.

E28.2: PCOS ICS 10 Code

PCOS ICS 10 Code

Types of PCOS Coded Under C28.2

While the code E28.2 represents PCOS, it does not provide specific information about the types or subtypes of PCOS. PCOS is a complex condition that can present differently in individuals. However, here are some common types or features of PCOS that are often described:

  • Classic PCOS: This is the most common type of PCOS. Doctors characterize it by the presence of multiple small cysts on the ovaries, hormonal imbalances, and irregular menstrual cycles. It is often associated with symptoms such as excessive hair growth (hirsutism), acne, weight gain, and insulin resistance.
  • Non-Classic PCOS: Some individuals may exhibit the symptoms and features of PCOS without the presence of multiple cysts on the ovaries. This subtype is diagnosed based on the hormonal imbalances and clinical symptoms of PCOS.
  • Lean PCOS: This type of PCOS is characterized by the presence of PCOS symptoms and hormonal imbalances in women who have a normal body mass index (BMI) or are relatively lean. It is commonly associated with insulin resistance and hormonal dysregulation.
  • Post-Pill PCOS: Some women may develop PCOS-like symptoms after discontinuing the use of hormonal contraceptives, such as birth control pills. This type of PCOS is temporary and usually resolves within a few months as the body adjusts to the hormonal changes.
  • Insulin-Resistant PCOS: Insulin resistance is a common feature in many individuals with PCOS. It refers to the body's reduced sensitivity to insulin, leading to high insulin levels. Insulin resistance can contribute to hormonal imbalances, weight gain, and difficulty managing blood sugar levels.

Some other backreferences to the code E28.2 include:

  • Sclerocystic ovary syndrome
  • Stein-Leventhal syndrome
  • Bilateral polycystic ovarian

PCOS Types Excluded from ICD-10 E28.2

The PCOS types that are excluded from ICD-10 E28.2 include:

  • Isolated gonadotropin deficiency
  • Postprocedural ovarian failure

Secondary and metastatic PCOS ICD 10 code: E28.2

Secondary or metastatic PCOS ICD-10 code E28.2 lookup

For secondary PCOS, the ICD-10 code depends on the underlying cause or condition that is contributing to the development of PCOS-like symptoms. Since PCOS is not specifically mentioned in the ICD-10 coding system for secondary cases, we can use the underlying cause instead.

Here are some examples of underlying conditions that may lead to secondary PCOS, along with their respective ICD-10 codes:

  • Congenital adrenal hyperplasia: E25.0
  • Cushing's syndrome: E24.4
  • Hypothyroidism: E03.9
  • Hyperprolactinemia: E22.1
  • Ovarian tumors: C56.1 (for malignant tumors), D27.9 (for benign tumors)

Conclusion

In conclusion, Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder affecting women of reproductive age. The ICD-10 code E28.2 helps classify and document the diagnosis of PCOS.

However, the ICD-10 system does not provide specific codes for different subtypes or variants of PCOS. If there are secondary or metastatic causes contributing to PCOS-like symptoms, professionals should code the underlying condition instead.