E23.0 vs E28
E23.0 (Hypopituitarism) compared with E28 (Ovarian dysfunction), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. E28 carries an Excludes1 note covering E23.0: “isolated gonadotropin deficiency (E23.0)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| E23.0Hypopituitarism | E28Ovarian dysfunction | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | E00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89) | E00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89) |
| Definition | Hypopituitarism is a billable ICD-10-CM diagnosis code (E23.0). | Ovarian dysfunction is a non-billable ICD-10-CM category code (E28). |
| Includes | the listed conditions whether the disorder is in the pituitary or the hypothalamus Fertile eunuch syndrome Hypogonadotropic hypogonadism Idiopathic growth hormone deficiency | — |
| Use additional code | code, if applicable, for associated cachexia (E88.A) | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources