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E89.40 ICD-10-CM Code: Asymptomatic postprocedural ovarian failure

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FY 2026 Apr update / Endocrine, nutritional and metabolic diseases (E00-E89) / Postprocedural endocrine and metabolic complications and disorders, not elsewhere classified (E89)

E89.40

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

Asymptomatic postprocedural ovarian failure

This code describes a condition where the ovaries stop functioning after a medical procedure or surgery, but the patient is not experiencing any symptoms. This is typically discovered through blood tests or imaging rather than the patient reporting problems.

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
E89Postprocedural endocrine and metabolic complications and disorders, not elsewhere classified
E89.4Postprocedural ovarian failure
E89.40Asymptomatic postprocedural ovarian failure

Inclusion Terms

Official
  • Postprocedural ovarian failure NOS

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for E89.40 in this effective period.

Related Child Codes

Official
E89.41Symptomatic postprocedural ovarian failure

Includes

Official

ICD-10-CM does not list Includes notes for E89.40 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for E89.40 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for E89.40 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for E89.40 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for E89.40 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Verify that the ovarian failure is documented as occurring after a specific procedure and that the patient has no reported symptoms; if symptoms are present, use E89.41 instead
Ensure documentation clearly links the ovarian failure to a prior procedure (such as hysterectomy, radiation, or chemotherapy) to support medical necessity and accurate coding

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 E89.40 an HCC code?

No. E89.40 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
E89.40
Description
Asymptomatic postprocedural ovarian failure
HCC (V28)
No CMS-HCC V28 mapping
RAF
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

E89.40 is the ICD-10-CM diagnosis code for asymptomatic postprocedural ovarian failure. This code describes a condition where the ovaries stop functioning after a medical procedure or surgery, but the patient is not experiencing any symptoms. This is typically discovered through blood tests or imaging rather than the patient reporting problems. E89.40 sits in the ICD-10-CM chapter for endocrine, nutritional and metabolic diseases (e00-e89), within the section covering postprocedural endocrine and metabolic complications and disorders, not elsewhere classified (e89).

E89.40 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.

Verify that the ovarian failure is documented as occurring after a specific procedure and that the patient has no reported symptoms; if symptoms are present, use E89.41 instead.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for E89.40 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Verify that the ovarian failure is documented as occurring after a specific procedure and that the patient has no reported symptoms; if symptoms are present, use E89.41 instead
  • Ensure documentation clearly links the ovarian failure to a prior procedure (such as hysterectomy, radiation, or chemotherapy) to support medical necessity and accurate coding

Child Codes

Code Hierarchy

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