What is HRT code? - Vitality Balance Clinic

HRT code refers to the medical codes used to bill for hormone replacement therapy (HRT). HRT involves administering hormones to supplement low hormone levels, usually in menopausal or andropausal individuals. Some key points about HRT billing codes:

• HRT codes cover the hormones themselves as well as their administration and monitoring. Specific codes exist for estrogen, testosterone, progesterone, etc.
• Codes differentiate the type of hormone (synthetic, bioidentical, or blended) as well as the delivery method (oral, transdermal, pellet, or injection).
• Diagnosis codes validate the medical necessity of HRT and link to specific symptomology.
• Procedure codes report infusion, injection, lab work, or interpretation related to HRT regimens.

Some common HRT codes include:

• Estrogen: J1950, J9217
• Testosterone: J1070, J3121
• Progesterone: J3490, J1050
• GNH agonists: J1953, J9225
• Lab services: 36415, 80061
• Injections: 96372, J3472

When billing for HRT, specific ICD-10 diagnosis codes help convey medical necessity:

• E28.310 - Symptomatic premature menopause
• E29.1 - Testicular hypofunction
• N95.1 - Menopausal mood disturbances

Accurately coding HRT services ensures appropriate reimbursement rates. Missing a J-code or using an imprecise diagnosis code risks claim denial. We recommend consulting the HRT billing experts at Vitality Balance Clinic(https://Vitality Balance Clinic.com) to optimize reimbursement. How Vitality Balance Clinic Can Help As a leading hormone clinic near you, Vitality Balance Clinic(https://Vitality Balance Clinic.com) specializes in all aspects of hormone replacement therapy:

• Initial risk assessment & lab testing
• Custom HRT regimen formulation
• Ongoing monitoring & medication adjustments
• Detailed coding & billing assistance

Our experienced medical team stays up-to-date on the latest clinical guidelines and HRT codes to ensure our patients receive the best care. We offer convenient virtual and in-office visits with specialties including:

• Men's health optimization
• Menopausal HRT for females
• Transgender HRT regimens

Benefits of our HRT services:

• Improve energy, sleep, sex drive & cognition
• Reduce hot flashes, night sweats & irritability
• Regain focus, motivation & sense of wellbeing
• Prevent bone/muscle loss & cardiovascular decline

Interested in learning more?

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