E34.52 ICD-10-CM Code: Partial androgen insensitivity syndrome
E34.52 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC Buddy coding tools
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FY 2026 Apr update / Endocrine, nutritional and metabolic diseases (E00-E89) / Disorders of other endocrine glands (E20-E35)
E34.52
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidancePartial androgen insensitivity syndrome
A genetic condition where the body has reduced or incomplete response to male hormones, resulting in variable genital development.
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- Partial androgen insensitivity
- Reifenstein syndrome
Excludes 2
OfficialNo Excludes 2 notes are included in this display for E34.52. Check the code and parent instructions in the Code Book.
Related Codes
Includes
OfficialNo Includes notes are included in this display for E34.52. 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, E34
- galactorrhea (N64.3)Inherited from E00-E89, E20-E35, E34
- gynecomastia (N62)Inherited from E00-E89, E20-E35, E34
- pseudohypoparathyroidism (E20.1)Inherited from E00-E89, E20-E35, E34
Code First
OfficialNo Code First sequencing instructions are included in this display for E34.52. Check the code and parent instructions in the Code Book.
Use Additional
OfficialNo Use Additional Code instructions are included in this display for E34.52. Check the code and parent instructions in the Code Book.
Code Also
OfficialNo Code Also instructions are included in this display for E34.52. 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 E34.52 an HCC code?
No. E34.52 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
- E34.52
- Description
- Partial androgen insensitivity syndrome
- 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
E34.52 is the ICD-10-CM diagnosis code for partial androgen insensitivity syndrome. A genetic condition where the body has reduced or incomplete response to male hormones, resulting in variable genital development. E34.52 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).
E34.52 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.
Ensure documentation specifies the degree of androgen insensitivity to justify this code over the unspecified code.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for E34.52 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Ensure documentation specifies the degree of androgen insensitivity to justify this code over the unspecified code
- •This code encompasses a spectrum of presentations; clinical findings should support the partial classification