Androgen excess

This code signifies a condition characterized by abnormally high levels of androgens, which are male sex hormones, in a female or, less commonly, in a male. This hormonal imbalance can lead to various symptoms and health issues depending on the patient's sex and the specific androgen involved.

Use this code for patients presenting with clinical signs and symptoms of androgen excess, such as hirsutism, acne, alopecia, menstrual irregularities, or virilization in females, or precocious puberty or adrenal hyperplasia in males. Documentation should clearly indicate elevated androgen levels confirmed by laboratory testing (e.g., testosterone, DHEA-S) and/or clinical findings consistent with hyperandrogenism.

• Distinguish from specific conditions causing androgen excess, such as polycystic ovarian syndrome (PCOS), which has its own specific codes.
• Always review documentation for the underlying cause of androgen excess; if known, code the underlying condition first.
• Do not use this code if the androgen excess is iatrogenic (e.g., due to exogenous androgen administration).