PCOS ICD-10-CM Codes
Read this short guide and learn about PCOS ICD codes you can use.
Fact Checked by Nate Lacson.
What PCOS ICD codes can I use?
If you’re looking for PCOS ICD codes to use but have trouble looking for one when searching databases, there are no ICD-10 codes that mention PCOS in their names. That doesn’t mean there are no ICD-10 codes that you can use for it, though. You must search for it using its full name, Polycystic Ovarian Syndrome. Also, there are only two that apply to this syndrome:
- E28.2 - Polycystic ovarian syndrome
This ICD-10 code is meant to be used on a female patient confirmed to have Polycystic Ovarian Syndrome. This is the only ICD-10 code for this condition, so this should be your go-to ICD-10 code.
- Z84.2 - Family history of other diseases of the genitourinary system
This ICD-10 code is meant to be used on a patient confirmed to have a family history of other diseases of the genitourinary system. PCOS is considered to be a disease of the genitourinary system, so if you have a female patient who is at risk of PCOS or has it, you can use this ICD-10 code as a way to explain why they might be at risk of getting it or why they have it. Some research suggests that PCOS might be hereditary.
Are both of these PCOS ICD codes billable?
Yes. Both of these PCOS-related ICD-10 codes are valid and billable.
Clinical information about PCOS:
Polycystic Ovarian Syndrome, or PCOS for short, is the term healthcare professionals use when referring to a hormonal imbalance in the ovaries. This imbalance is caused by the ovaries producing too much Androgens, which may cause females to miss their periods and make their period cycles irregular (this, in turn, makes ovulation cycles “irregular” and “unpredictable”). Also, if a female patient has PCOS, they might develop unharmful cysts in the ovaries.
If a female has PCOS, they might have the following symptoms besides the ones we mentioned above:
- They will be prone to acne
- Their skin might darken, and skin tags may form
- Their hair might start thinning
- They might start gaining weight out of the blue
- They might become infertile (PCOS is one of the most common causes of infertility in women)
But, just to put it out there, even if a person has PCOS, that doesn’t mean they will experience some of the symptoms mentioned above. Some people only find out when they aren’t able to get pregnant.
Synonyms include:
- Polycystic bilateral ovaries
- Polycystic left ovary
- Polycystic ovary
- Polycystic ovary syndrome
- Polycystic ovary syndrome of bilateral ovaries
- Polycystic ovary syndrome of left ovary
- Polycystic ovary syndrome of right ovary
- Polycystic right ovary
- Family history of polycystic ovary
- Family history of polycystic ovary syndrome
Commonly asked questions
No. The two we mentioned earlier are the only two as of now.
Healthcare professionals will ask about a female patient’s personal and family medical history; check their weight; check their blood pressure; and conduct physical and pelvic examinations (including pelvic ultrasounds).
Some professionals will recommend taking certain medications or giving patients an injection of gonadotropins. They might recommend surgery to help restore a patient’s ovulation. Some will recommend IVF (in vitro fertilization).
