E29.9 ICD-10-CM Code: Testicular dysfunction, unspecified
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 6 Excludes1
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.
- MS-DRG 643 — ENDOCRINE DISORDERS WITH MCC (MDC 10)
- MS-DRG 644 — ENDOCRINE DISORDERS WITH CC (MDC 10)
- MS-DRG 645 — ENDOCRINE DISORDERS WITHOUT CC/MCC (MDC 10)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for E29.9 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on E29.9 itself; “inherited from” names the category or block whose note applies here.
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- androgen insensitivity syndrome (E34.5-) inherited from E29Compare E29.9 vs E34.5 →
- azoospermia or oligospermia NOS (N46.0-N46.1) inherited from E29Compare E29.9 vs N46.0 →
- isolated gonadotropin deficiency (E23.0) inherited from E29Compare E29.9 vs E23.0 →
- Klinefelter's syndrome (Q98.0-Q98.1, Q98.4) inherited from E29Compare E29.9 vs Q98.0 →
- galactorrhea (N64.3) inherited from E20-E35Compare E29.9 vs N64.3 →
- gynecomastia (N62) inherited from E20-E35Compare E29.9 vs N62 →
Coder workflow for E29.9
MedCoder structured workflow — derived from this code’s own official record
Before you code E29.9
- Unspecified does not mean incorrect. When the record gives no greater specificity, E29.9 may be the appropriate code. Check the record for detail that supports a more specific sibling. An unspecified code is for records that do not provide the detail a more specific code needs; a query, not an assumption, is the route to specificity (Guidelines I.A.9.b, I.B.18).
See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with E29.9. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the record document the detail a more specific sibling code needs?
Yes → Review the specific siblings in this subcategory.
No → Continue — E29.9 is appropriate when the documentation goes no further. - Does the documentation support a condition named in E29.9’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.
Consider E29.9. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- Any detail beyond this code’s title
- What the record states that a more specific sibling code would capture — or its absence, which itself supports the unspecified code.
Official instructions as workflow
Excludes1 — check before selecting E29.9(6 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with E29.9: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
CompareE34.5, E23.0, Q98.4, N64.3, N62
See the official tabular notes · Guidelines I.A.12.a
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: The provider documents the condition in the terms of this code’s title and records no further detail.
Coding question: Is a more specific sibling code supportable?
Path: Review the specific siblings in this subcategory and what each requires the record to state.
Reason: A more specific code needs documentation of the distinguishing element; without it the unspecified code is appropriate, and a provider query is the route to specificity (Guidelines I.A.9.b, I.B.18).
Documentation: Both the condition E29.9 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Indexed Clinical Terms (1)
Official source data — entries quoted as published, in the Index’s own lookup phrasing
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name E29.9 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 1 Code First instruction: G63 — Polyneuropathy in diseases classified elsewhere (via E29.-).
Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
FY2026 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.
Named in the grouper logic of 3 MS-DRGs: DRG 643 (MDC 10), DRG 644 (MDC 10), DRG 645 (MDC 10).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):END015 — Other specified and unspecified endocrine disorders (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Other specified and unspecified endocrine disorders).
E28.1 — Androgen excess, E28.2 — Polycystic ovarian syndrome, E28.310 — Symptomatic premature menopause, E28.319 — Asymptomatic premature menopause, E28.39 — Other primary ovarian failure, E28.8 — Other ovarian dysfunction, E28.9 — Ovarian dysfunction, unspecified, E29.0 — Testicular hyperfunction, E29.1 — Testicular hypofunction, E29.8 — Other testicular dysfunction, E30.0 — Delayed puberty, E30.1 — Precocious puberty, E30.8 — Other disorders of puberty, E30.9 — Disorder of puberty, unspecified, E31.0 — Autoimmune polyglandular failure, E31.1 — Polyglandular hyperfunction, E31.20 — Multiple endocrine neoplasia [MEN] syndrome, unspecified, E31.21 — Multiple endocrine neoplasia [MEN] type I, E31.22 — Multiple endocrine neoplasia [MEN] type IIA, E31.23 — Multiple endocrine neoplasia [MEN] type IIB, +83 more
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Dysfunction”; these codes share that main term but sit in a different category of the Tabular List.
D69.19 — Other qualitative platelet defects (platelets), D75.89 — Other specified diseases of blood and blood-forming organs (hemoglobin), E07.9 — Disorder of thyroid, unspecified (thyroid), E21.4 — Other specified disorders of parathyroid gland (parathyroid), E23.3 — Hypothalamic dysfunction, not elsewhere classified (pituitary), E23.7 — Disorder of pituitary gland, unspecified (hypophysis), E27.0 — Other adrenocortical overactivity (adrenal, hyperfunction), E27.9 — Disorder of adrenal gland, unspecified (adrenal), E28.8 — Other ovarian dysfunction (ovary, specified NEC), E28.9 — Ovarian dysfunction, unspecified (ovary), E31.8 — Other polyglandular dysfunction (polyglandular, specified NEC), E31.9 — Polyglandular dysfunction, unspecified (polyglandular), E32.9 — Disease of thymus, unspecified (thymus), E34.8 — Other specified endocrine disorders (pineal gland), E34.9 — Endocrine disorder, unspecified (endocrine NOS), F10.181 — Alcohol abuse with alcohol-induced sexual dysfunction (sexual, alcohol, in, abuse), F10.281 — Alcohol dependence with alcohol-induced sexual dysfunction (sexual, alcohol, in, dependence), F10.981 — Alcohol use, unspecified with alcohol-induced sexual dysfunction (sexual, alcohol), F11.181 — Opioid abuse with opioid-induced sexual dysfunction (sexual, opioid, in, abuse), F11.281 — Opioid dependence with opioid-induced sexual dysfunction (sexual, opioid, in, dependence), +114 more
Contextual Map
Every relationship of E29.9 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run E29.9 with this related code in Claim Check
Hierarchy
- E00-E89 — Chapter 4: Endocrine, Nutritional and Metabolic Diseases (E00-E89) (E00-E89)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- E20-E35 — Disorders of other endocrine glands[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Code First instructions
- G63 — Polyneuropathy in diseases classified elsewhere[Code First](via E29.-): “endocrine disease, except diabetes (E00-E07, E15-E16, E20-E34)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Clinical classification (CCSR)
- END015 — Other specified and unspecified endocrine disorders[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- DRG 643 — ENDOCRINE DISORDERS WITH MCC[MS-DRG]: “ENDOCRINE DISORDERS WITH MCC (MDC 10)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 644 — ENDOCRINE DISORDERS WITH CC[MS-DRG]: “ENDOCRINE DISORDERS WITH CC (MDC 10)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 645 — ENDOCRINE DISORDERS WITHOUT CC/MCC[MS-DRG]: “ENDOCRINE DISORDERS WITHOUT CC/MCC (MDC 10)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
MDC crossing
- MDC 10 — Endocrine, Nutritional and Metabolic Diseases and Disorders[MDC crossing]: “Endocrine, Nutritional and Metabolic Diseases and Disorders — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 5,008 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026
Index entries
- Dysfunction, testicular (endocrine)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
Nearest codes
- E29 — Testicular dysfunction[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- E29.0 — Testicular hyperfunction[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- E29.1 — Testicular hypofunction[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- E29.8 — Other testicular dysfunction[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Inpatient payment groups Official source data
- CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "E29.9 — Testicular dysfunction, unspecified." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/e29.9-testicular-dysfunction-unspecified
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionTesticular dysfunction, unspecified
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to E29.9 in its code family, with their registry titles.