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E29.1 ICD-10-CM Code: Testicular hypofunction

ICD-10-CM Code View

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

E29.1

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

Testicular hypofunction

A condition where the testes do not produce adequate male hormones, resulting in low testosterone and symptoms like fatigue, reduced muscle mass, or sexual dysfunction.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
E29Testicular dysfunction
E29.1Testicular hypofunction

Inclusion Terms

Official
  • Defective biosynthesis of testicular androgen NOS
  • 5-delta-Reductase deficiency (with male pseudohermaphroditism)
  • Testicular hypogonadism NOS

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for E29.1 in this effective period.

Related Child Codes

Official
E29.0Testicular hyperfunction
E29.8Other testicular dysfunction
E29.9Testicular dysfunction, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for E29.1 in this effective period.

Excludes 1

Official
  • postprocedural testicular hypofunction (E89.5)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for E29.1 in this effective period.

Use Additional

Official
  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Code Also

Official

ICD-10-CM does not list Code Also instructions for E29.1 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Distinguish between primary testicular failure and secondary hypogonadism from pituitary/hypothalamic causes
Document testosterone levels or clinical findings supporting the diagnosis of hypofunction

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is E29.1 an HCC code?

No. E29.1 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

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

E29.1 is the ICD-10-CM diagnosis code for testicular hypofunction. A condition where the testes do not produce adequate male hormones, resulting in low testosterone and symptoms like fatigue, reduced muscle mass, or sexual dysfunction. E29.1 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).

E29.1 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Distinguish between primary testicular failure and secondary hypogonadism from pituitary/hypothalamic causes.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for E29.1 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Distinguish between primary testicular failure and secondary hypogonadism from pituitary/hypothalamic causes
  • Document testosterone levels or clinical findings supporting the diagnosis of hypofunction

Excludes 1, Do NOT code together

  • postprocedural testicular hypofunction (E89.5)

Use Additional Code

  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Child Codes

Code Hierarchy

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Open E29.1 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 14 days to try everything.