E89.41 ICD-10-CM Code: Symptomatic postprocedural ovarian failure
HCC Buddy Code Card
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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)
E89.41
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceSymptomatic postprocedural ovarian failure
Loss of ovarian function with symptoms like hot flashes and irregular periods that occurs after a medical procedure or treatment.
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
Inclusion Terms
Official- Symptoms such as flushing, sleeplessness, headache, lack of concentration, associated with postprocedural menopause
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for E89.41 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for E89.41 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for E89.41 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for E89.41 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for E89.41 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for E89.41 in this effective period.
Buddy Documentation Tip
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 E89.41 an HCC code?
No. E89.41 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- E89.41
- Description
- Symptomatic 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
E89.41 is the ICD-10-CM diagnosis code for symptomatic postprocedural ovarian failure. Loss of ovarian function with symptoms like hot flashes and irregular periods that occurs after a medical procedure or treatment. E89.41 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).
E89.41 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.
Document the specific procedure or treatment causing ovarian failure (surgery, chemotherapy, radiation).
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for E89.41 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Document the specific procedure or treatment causing ovarian failure (surgery, chemotherapy, radiation)
- •Confirm presence of symptoms; use E89.40 for asymptomatic postprocedural ovarian failure