E28.2
BillablePolycystic ovarian syndrome
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
Polycystic ovarian syndrome (PCOS) is a hormonal condition affecting women of reproductive age where the ovaries develop multiple small cysts and produce excess androgens (male hormones), leading to irregular periods, fertility issues, and metabolic problems. This is a common endocrine disorder that can affect weight, skin, and overall reproductive health.
Coding Tips
- •PCOS is typically a chronic condition; ensure documentation supports the diagnosis and consider coding associated conditions like irregular menstruation (N92.-), infertility (N97.-), or metabolic syndrome (E88.81) if documented
- •Verify the clinical documentation clearly states 'polycystic ovarian syndrome' or 'PCOS' to justify this code; do not code based solely on ultrasound findings of multiple ovarian cysts without clinical correlation