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hormonal imbalance insurance code?

Started by Dora, September 27, 2007, 10:21:05 AM

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Dora

I have read in several posts that sometimes a doctor can get insurance to pay for tests using a  hormonal imbalance insurance code. My doctor says she is unable to locate such a code. (She is looking again.) Does anyone know what that code would be or is it determined by the each insurance company?

Thanks,
Dora
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seldom

Its an endocrine disorder of some sort. 
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Dora

Quote from: Amy T. on September 27, 2007, 12:05:06 PM
Its an endocrine disorder of some sort. 


Thank you Amy... I found the following based on your response. I'll research it further but at least now I have a lead.

Up to this point, no ICD-9 code or codes have perfectly captured this first group of qualified individuals. Many providers to date have been using for example, 256.2 (postablative ovarian failure), 256.3 (other ovarian failure), 627.2 (menopausal or female climacteric states e.g. flushing and headache associated with menopause), and 259.9 (unspecified endocrine disorder). These four codes are not all-inclusive and listing them is intended for informational purposes only.

Dora
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seldom

259.9 (unspecified endocrine disorder)

This was the code my doctor used at first.
I found out that I actually do have this anyway and would qualify for HRT outside of being trans.  My free testosterone was in the female range and my total testosterone was unusually low considering my age, though not in the female range (it was half of what it would be for a male my age).  Plus I had another actual endocrine disorder. 
This was after my first blood test. 


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Dora

Quote from: Amy T. on September 28, 2007, 12:18:51 AM
259.9 (unspecified endocrine disorder)

This was the code my doctor used at first.
I found out that I actually do have this anyway and would qualify for HRT outside of being trans.  My free testosterone was in the female range and my total testosterone was unusually low considering my age, though not in the female range (it was half of what it would be for a male my age).  Plus I had another actual endocrine disorder. 
This was after my first blood test. 

Thanks again for the info Amy. I'm going on 4 months now and I am definitely feeling the effects of the HRT. However, I would like to be sure I am getting the maximum benefit from the medication so my doc is running a free testosterone and estrogen test now. I should have the results in the next 48 hours. In my limited research I found that my goal  should be 400+ for estrogen and less then 50 for free testosterone.

Does anyone know if I am on the right track here?

Thanks,

Dora
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