Hirsutism

This code signifies excessive growth of coarse, dark hair in a male-like pattern (e.g., face, chest, back) in women or children. It is often a symptom of an underlying hormonal imbalance, such as polycystic ovary syndrome (PCOS), or can be idiopathic.

Assign this code when documentation explicitly states hirsutism as a diagnosis. It is appropriate for cases where the patient presents with abnormal hair growth requiring evaluation or treatment, regardless of the underlying cause. Supporting documentation includes physician notes detailing the location and characteristics of the excessive hair.

• Always code the underlying cause of hirsutism, if known and documented, in addition to this code.
• Distinguish from hypertrichosis, which is generalized excessive hair growth not necessarily in an androgen-dependent pattern.
• Ensure documentation specifies "hirsutism" rather than just "excessive hair" to support this specific diagnosis.