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

ICD-10 E89.5

Billable / Specific

Postprocedural testicular hypofunction

E89
Block
0
Synonyms
44
LCDs
3
Payer Policies
7
Linked CPTs

About ICD-10-CM E89.5

ICD-10-CM code E89.5 represents Postprocedural testicular hypofunction. This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E89). The 2026 edition of ICD-10-CM E89.5 became effective on October 1, 2025.

Medicare LCD Coverage for E89.5

Local Coverage Determinations (LCDs) from CMS MACs that list E89.5 as a covered diagnosis.

44 LCDs

Showing top 10 of 44 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone
Article ID: 58828, Effective: 2026-04-02 00:00:00, 39 covered, 0 non-covered
CPT J1071 →
CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone
Article ID: 58828, Effective: 2026-04-02 00:00:00, 39 covered, 0 non-covered
CPT J3145 →
CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone
Article ID: 58828, Effective: 2026-04-02 00:00:00, 39 covered, 0 non-covered
CPT 84410 →
CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone
Article ID: 58828, Effective: 2026-04-02 00:00:00, 39 covered, 0 non-covered
CPT 84403 →
CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone
Article ID: 58828, Effective: 2026-04-02 00:00:00, 39 covered, 0 non-covered
CPT 11980 →
CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone
Article ID: 58828, Effective: 2026-04-02 00:00:00, 39 covered, 0 non-covered
CPT J3121 →
CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone
Article ID: 58828, Effective: 2026-04-02 00:00:00, 39 covered, 0 non-covered
CPT 96372 →
CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone
Article ID: 58828, Effective: 2026-04-02 00:00:00, 39 covered, 0 non-covered
CPT J3490 →
CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone
Article ID: 58828, Effective: 2026-04-02 00:00:00, 39 covered, 0 non-covered
CPT J1072 →
CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone
Article ID: 57615, Effective: 2025-10-16 00:00:00, 11 covered, 0 non-covered
CPT J1071 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing E89.5.

3 policies

3 Medicare

Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204
Billing and Coding: Treatment of Males with Low Testosterone
Policy ID: ART-57615
Billing and Coding: Treatment of Males with Low Testosterone
Policy ID: ART-58828

CPT Codes Commonly Billed with E89.5

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

7 linkages
  • J3145 CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone CMS LCD
  • 84403 CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone CMS LCD
  • 84410 CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone CMS LCD
  • J1072 CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone CMS LCD
  • 11980 CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone CMS LCD
  • J1071 CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone CMS LCD
  • J3121 CMS LCD: Billing and Coding: Treatment of Males with Low Testosterone CMS LCD

Convert E89.5 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
E89.5 2571 00000

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

Codes Adjacent To E89.5

Other codes in section E89 (Postprocedural endocrine and metabolic complications and disorders, not elsewhere classified).

E89 Postprocedural endocrine and metabolic complications and disorders, not elsewhere classified (non-billable) E89.0 Postprocedural hypothyroidism E89.1 Postprocedural hypoinsulinemia E89.2 Postprocedural hypoparathyroidism E89.3 Postprocedural hypopituitarism E89.4 Postprocedural ovarian failure (non-billable) E89.40 Asymptomatic postprocedural ovarian failure E89.41 Symptomatic postprocedural ovarian failure E89.6 Postprocedural adrenocortical (-medullary) hypofunction E89.8 Other postprocedural endocrine and metabolic complications and disorders (non-billable) E89.81 Postprocedural hemorrhage of an endocrine system organ or structure following a procedure (non-billable) E89.810 Postprocedural hemorrhage of an endocrine system organ or structure following an endocrine system procedure E89.811 Postprocedural hemorrhage of an endocrine system organ or structure following other procedure E89.82 Postprocedural hematoma and seroma of an endocrine system organ or structure (non-billable) E89.820 Postprocedural hematoma of an endocrine system organ or structure following an endocrine system procedure E89.821 Postprocedural hematoma of an endocrine system organ or structure following other procedure E89.822 Postprocedural seroma of an endocrine system organ or structure following an endocrine system procedure E89.823 Postprocedural seroma of an endocrine system organ or structure following other procedure E89.89 Other postprocedural endocrine and metabolic complications and disorders

ICD-10 E89.5, Billing FAQ

Is ICD-10 code E89.5 billable? +

Yes, E89.5 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with E89.5? +

Procedures frequently paired with E89.5 include: J3145, 84403, 84410, J1072, 11980.

What ICD-9 codes does E89.5 map to? +

Per CMS GEMs, E89.5 maps to ICD-9 codes: 2571. 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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