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E28.319 ICD-10-CM Code: Asymptomatic premature menopause

E28.319 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC Buddy coding tools

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Code lookupE28.319

FY 2026 Apr update / Endocrine, nutritional and metabolic diseases (E00-E89) / Disorders of other endocrine glands (E20-E35)

E28.319

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Asymptomatic premature menopause

Early menopause occurring before age 40 without noticeable symptoms, often discovered incidentally through hormone testing.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Inclusion Terms

Official
  • Premature menopause NOS

Excludes 2

Official

No Excludes 2 notes are included in this display for E28.319. Check the code and parent instructions in the Code Book.

Includes

Official

No Includes notes are included in this display for E28.319. Check the code and parent instructions in the Code Book.

Excludes 1

Official
  • transitory endocrine and metabolic disorders specific to newborn (P70-P74)Inherited from E00-E89, E20-E35, E28, E28.3
  • galactorrhea (N64.3)Inherited from E00-E89, E20-E35, E28, E28.3
  • gynecomastia (N62)Inherited from E00-E89, E20-E35, E28, E28.3
  • isolated gonadotropin deficiency (E23.0)Inherited from E00-E89, E20-E35, E28, E28.3
  • postprocedural ovarian failure (E89.4-)Inherited from E00-E89, E20-E35, E28, E28.3
  • pure gonadal dysgenesis (Q99.1)Inherited from E00-E89, E20-E35, E28, E28.3
  • Turner's syndrome (Q96.-)Inherited from E00-E89, E20-E35, E28, E28.3

Code First

Official

No Code First sequencing instructions are included in this display for E28.319. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for E28.319. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for E28.319. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Verify that the patient truly has no symptoms; if symptoms are present, use E28.310 instead
Document how the condition was discovered (e.g., routine lab work, fertility evaluation)

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is E28.319 an HCC code?

No. E28.319 is a billable ICD-10-CM code with no mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models.

Code
E28.319
Description
Asymptomatic premature menopause
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

E28.319 is the ICD-10-CM diagnosis code for asymptomatic premature menopause. Early menopause occurring before age 40 without noticeable symptoms, often discovered incidentally through hormone testing. E28.319 sits in the ICD-10-CM chapter for endocrine, nutritional and metabolic diseases (e00-e89), within the section covering disorders of other endocrine glands (e20-e35).

E28.319 is a billable ICD-10-CM code, but the current payload does not show a mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.

Verify that the patient truly has no symptoms; if symptoms are present, use E28.310 instead.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for E28.319 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Verify that the patient truly has no symptoms; if symptoms are present, use E28.310 instead
  • Document how the condition was discovered (e.g., routine lab work, fertility evaluation)

Child Codes

Code Hierarchy

Work E28.319 in HCC Buddy

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