E28.39 ICD-10-CM Code: Other primary ovarian failure
E28.39 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools
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FY 2026 Apr update / Endocrine, nutritional and metabolic diseases (E00-E89) / Disorders of other endocrine glands (E20-E35)
E28.39
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceOther primary ovarian failure
A condition where the ovaries fail to function properly due to primary ovarian disease, resulting in hormonal imbalances and potential infertility.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
Official- Decreased estrogen
- Resistant ovary syndrome
Excludes 2
OfficialNo Excludes 2 notes are included in this display for E28.39. Check the code and parent instructions in the Code Book.
Related Codes
Includes
OfficialNo Includes notes are included in this display for E28.39. 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
OfficialNo Code First sequencing instructions are included in this display for E28.39. Check the code and parent instructions in the Code Book.
Use Additional
OfficialNo Use Additional Code instructions are included in this display for E28.39. Check the code and parent instructions in the Code Book.
Code Also
OfficialNo Code Also instructions are included in this display for E28.39. Check the code and parent instructions in the Code Book.
Buddy Documentation Tip
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 E28.39 an HCC code?
No. E28.39 is a billable ICD-10-CM code with no mapping under the current CMS-HCC V28 community payment model, and none under the ESRD, Part D RxHCC, or HHS-HCC models.
- Code
- E28.39
- Description
- Other primary ovarian failure
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
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What This Code Means
E28.39 is the ICD-10-CM diagnosis code for other primary ovarian failure. A condition where the ovaries fail to function properly due to primary ovarian disease, resulting in hormonal imbalances and potential infertility. E28.39 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).
E28.39 is a billable ICD-10-CM code, but no current CMS-HCC V28 community payment mapping is shown, 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 documentation specifies 'primary' ovarian failure to distinguish from secondary causes.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for E28.39 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Verify documentation specifies 'primary' ovarian failure to distinguish from secondary causes
- •Review for associated symptoms like amenorrhea or infertility to support medical necessity