ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 E28.8

Billable / Specific

Other ovarian dysfunction

E28
Block
1
Synonyms
7
LCDs
2
Payer Policies
0
Linked CPTs

About ICD-10-CM E28.8

ICD-10-CM code E28.8 represents Other ovarian dysfunction. This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E28). The 2026 edition of ICD-10-CM E28.8 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under E28.8. Per CMS ICD-10-CM Tabular 2026.

  • Ovarian hyperfunction NOS

Type 1 Excludes

Pure excludes, these codes can never be coded together with E28.8. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • postprocedural ovarian failure (E89.4-)

Medicare LCD Coverage for E28.8

Local Coverage Determinations (LCDs) from CMS MACs that list E28.8 as a covered diagnosis.

7 LCDs

Showing top 7. Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Bariatric Surgery Coverage
Article ID: 53026, Effective: 2026-01-01 00:00:00, 553 covered, 0 non-covered
CPT 43846 →
CMS LCD: Billing and Coding: Bariatric Surgery Coverage
Article ID: 53026, Effective: 2026-01-01 00:00:00, 553 covered, 0 non-covered
CPT 43845 →
CMS LCD: Billing and Coding: Bariatric Surgery Coverage
Article ID: 53026, Effective: 2026-01-01 00:00:00, 553 covered, 0 non-covered
CPT 43847 →
CMS LCD: Billing and Coding: Bariatric Surgery Coverage
Article ID: 53026, Effective: 2026-01-01 00:00:00, 553 covered, 0 non-covered
CPT 43770 →
CMS LCD: Billing and Coding: Bariatric Surgery Coverage
Article ID: 53026, Effective: 2026-01-01 00:00:00, 553 covered, 0 non-covered
CPT 43644 →
CMS LCD: Billing and Coding: Bariatric Surgery Coverage
Article ID: 53026, Effective: 2026-01-01 00:00:00, 553 covered, 0 non-covered
CPT 43775 →
CMS LCD: Billing and Coding: Bariatric Surgery Coverage
Article ID: 53026, Effective: 2026-01-01 00:00:00, 553 covered, 0 non-covered
CPT 43645 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing E28.8.

2 policies

1 Medicare

Billing and Coding: Bariatric Surgery Coverage
Policy ID: ART-53026

1 Aetna

Genetic Counseling
Policy ID: CPB-0189

CPT Codes Commonly Billed with E28.8

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for E28.8

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert E28.8 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
E28.8 2568 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 E28.8, Billing FAQ

Is ICD-10 code E28.8 billable? +

Yes, E28.8 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to E28.8? +

ICD-10 E28.8 includes: Ovarian hyperfunction NOS.

What codes are Type 1 Excludes for E28.8? +

Type 1 Excludes (never code together with E28.8): postprocedural ovarian failure (E89.4-)

What ICD-9 codes does E28.8 map to? +

Per CMS GEMs, E28.8 maps to ICD-9 codes: 2568. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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