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E89.5 ICD-10-CM Code: Postprocedural testicular hypofunction

E89.5 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools

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Code lookupE89.5

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

E89.5

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

Postprocedural testicular hypofunction

Reduced testosterone production and testicular function that develops after a surgical procedure or medical treatment.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Inclusion Terms

Official

No inclusion terms are included in this display for E89.5. Check the code and parent instructions in the Code Book.

Excludes 2

Official
  • intraoperative complications of endocrine system organ or structure (E36.0-, E36.1-, E36.8)Inherited from E89

Includes

Official

No Includes notes are included in this display for E89.5. 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

Code First

Official

No Code First sequencing instructions are included in this display for E89.5. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for E89.5. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for E89.5. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Link to the specific procedure causing the hypofunction (surgery, chemotherapy, or radiation)
Document testosterone levels if available to support the diagnosis

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 E89.5 an HCC code?

No. E89.5 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
E89.5
Description
Postprocedural testicular hypofunction
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

E89.5 is the ICD-10-CM diagnosis code for postprocedural testicular hypofunction. Reduced testosterone production and testicular function that develops after a surgical procedure or medical treatment. E89.5 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).

E89.5 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.

Link to the specific procedure causing the hypofunction (surgery, chemotherapy, or radiation).

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for E89.5 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Link to the specific procedure causing the hypofunction (surgery, chemotherapy, or radiation)
  • Document testosterone levels if available to support the diagnosis

Child Codes

Code Hierarchy

Also searched as

  • E89 5
  • E895

Work E89.5 in HCC Buddy

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