Your health plan should be as unique as you are, especially when you’re addressing something as fundamental as hormonal balance. A one-size-fits-all approach simply doesn’t work. While a tailored Hormone Replacement Therapy protocol is the first step, ensuring that plan is properly documented is just as critical. This is where the medical coding system comes into play. It’s the framework that translates your specific health needs into a standardized format for your entire care team. We’ll walk you through the essentials of icd 10 hormone replacement therapy coding, showing you how this detailed system supports your journey back to peak performance.
Key Takeaways
- Your treatment code needs a partner: The code Z79.890 signals you’re on long-term hormone therapy, but it can’t stand alone. It must always be paired with a primary diagnosis code—like menopause or low testosterone—that explains why the therapy is medically necessary for your records and for insurance.
- Strong documentation is non-negotiable: Your provider’s detailed notes are the foundation of your care. This record, which includes lab results, your treatment plan, and progress updates, creates the clear, evidence-based story that justifies your HRT and supports your long-term health strategy.
- Ensure your full treatment plan is documented: A comprehensive hormone optimization plan often includes regular lab work to monitor your progress. This ongoing management can be captured with an additional code (Z51.81), ensuring every part of your personalized, data-driven care is accurately reflected.
What Is Hormone Replacement Therapy?
If you’re feeling like you’re not operating at 100%—battling fatigue, brain fog, or a general sense of being “off”—your hormones could be the underlying cause. Hormone Replacement Therapy (HRT) is a medical treatment designed to restore hormonal balance when your body isn’t producing adequate levels on its own. While it’s widely known for relieving symptoms of menopause in women, its application is much broader. HRT is a powerful tool for anyone looking to address specific hormonal imbalances, including low testosterone in men, to reclaim their energy, focus, and overall vitality.
At its core, HRT works by replenishing key hormones like estrogen, progesterone, and testosterone to optimal levels. Think of it less as a simple fix and more as a personalized strategy to fine-tune your body’s internal communication system. The goal isn’t just to treat symptoms but to address the root cause, allowing you to function at your peak. A data-driven approach, starting with comprehensive lab testing, is essential to create a therapy plan that’s tailored specifically to your unique biology and health goals. This ensures you get the precise support you need to feel and perform your best, which is a core part of understanding the myths and facts about this therapy.
An Overview of HRT Treatments
When it comes to HRT, there is no one-size-fits-all solution. The right treatment plan is highly personalized, based on your lab results, symptoms, and lifestyle. There are several ways to deliver hormones, and your provider will help determine the best fit for you. Systemic hormone therapy, which affects the entire body, can be administered through daily pills, skin patches, or topical gels and creams. These methods are effective for treating a wide range of symptoms. Alternatively, localized therapy involves applying a cream or inserting a ring directly to a specific area, often used for targeted concerns like vaginal dryness. This variety of options allows for a truly customized approach, helping to debunk common myths that suggest HRT is a single, rigid treatment.
Common Conditions That Require HRT
HRT is a versatile treatment used to address several conditions rooted in hormonal deficiencies. For women, it’s most commonly associated with managing the symptoms of perimenopause and menopause, such as hot flashes, night sweats, mood swings, and vaginal dryness. For men, HRT is a primary treatment for hypogonadism, a condition where the body doesn’t produce enough testosterone, leading to fatigue, low libido, and loss of muscle mass. Beyond these common uses, hormone therapy is also a critical component of gender-affirming treatment for transgender individuals. By restoring hormones to optimal levels, HRT can significantly improve quality of life and help you feel like yourself again.
How to Document Medical Necessity
For any medical treatment to be recognized and potentially covered by insurance, it needs clear documentation proving it’s a medical necessity. This is especially true for HRT. Proper documentation involves more than just a diagnosis; it requires a detailed record that connects your symptoms and lab results directly to the need for hormone therapy. Your provider must meticulously record specifics about your symptoms, your measured hormone levels from blood work or other tests, and the proposed treatment plan. This creates a clear, evidence-based case for why HRT is the appropriate and necessary course of action for your primary health concern, ensuring your path to wellness is built on a solid foundation.
Breaking Down ICD-10 Code Z79.890
If you’re on a hormone optimization plan, you might notice a specific code on your medical records or insurance paperwork: Z79.890. While it looks like technical jargon, this code is a key part of how your entire healthcare team communicates about your treatment. Think of it as a universal shorthand that ensures your doctor, lab, and insurance provider are all on the same page regarding your long-term hormone therapy.
For high-performing individuals who value precision, understanding this code is another way to take ownership of your health journey. It’s the official marker that confirms hormone therapy is an active part of your wellness strategy. Knowing what it means helps you appreciate the level of detail that goes into managing your care, ensuring every aspect of your plan is accurately documented. This precision is fundamental for seamless insurance claims, prescription refills, and building a comprehensive, data-driven picture of your health over time.
What This Code Actually Means
In simple terms, the ICD-10 code Z79.890 officially identifies a person who is receiving long-term hormone replacement therapy (HRT). It’s part of the International Classification of Diseases (ICD-10), the global standard for medical reporting. This code doesn’t describe a disease or a symptom; instead, it provides important context about your health status.
When this code appears on your chart, it signals that you are proactively using prescribed hormones as part of an ongoing treatment plan. It’s a status code, not a diagnosis. Whether you’re using bioidentical hormones to manage perimenopause, optimizing testosterone for energy and focus, or undergoing another form of HRT, Z79.890 is the formal designation that makes your therapy a recognized part of your medical record.
Guidelines for Primary Use
One of the most important rules for using Z79.890 is that it should never stand alone. It’s considered a secondary code, which means it must be paired with a primary diagnosis that explains why you need hormone therapy. The primary code answers the “why,” while Z79.890 clarifies the “what” (the treatment itself).
For example, if you’re receiving testosterone therapy to address symptoms of andropause, your chart would list the code for andropause first, followed by Z79.890. This two-part structure creates a clear and complete narrative for anyone reviewing your file, especially your insurance carrier. It establishes the medical necessity of your treatment, which is crucial for getting claims approved without a hitch.
The Clinical Documentation You Need
For the Z79.890 code to be valid, it needs to be backed by clear, detailed clinical documentation. A simple note like “patient on hormones” isn’t enough. Strong documentation is the bedrock of quality care and is essential for justifying your treatment plan. It should include comprehensive lab results showing your baseline hormone levels, a clear treatment protocol outlining your specific prescriptions and dosages, and notes that connect the therapy to the symptoms or goals being addressed.
At 1st Optimal, our data-driven approach ensures this documentation is always thorough. We connect the insights from your at-home lab tests directly to your personalized therapy, creating a robust record that supports accurate coding and allows us to meticulously track your progress.
How to Pair It with Other Codes
Since Z79.890 provides context, it’s often paired with other codes to build a full picture of your care. Beyond the primary diagnosis, your provider might add codes that reflect ongoing management. For instance, if your plan includes regular blood work to ensure your hormone levels stay within their optimal range, another code will likely be used to document that monitoring.
A common partner for Z79.890 is Z51.81, which indicates an “Encounter for therapeutic drug monitoring.” Using these codes together tells a complete story: you are on long-term hormone therapy (Z79.890) and are actively monitoring its effects to ensure safety and efficacy (Z51.81). This type of precise ICD-10 coding demonstrates a commitment to comprehensive, high-quality care.
Getting Your Documentation Right
Clear and precise documentation is the bedrock of effective hormone replacement therapy. It’s about more than just checking boxes for compliance; it’s about creating a detailed, accurate record of your patient’s health journey. For high-performing individuals who rely on data to make decisions in their professional lives, this level of detail in their healthcare is non-negotiable. Proper documentation ensures continuity of care, supports treatment decisions with objective data, and builds a strong case for medical necessity. Think of it as the clinical narrative that explains not just what you’re doing, but why you’re doing it. This clarity is essential for everyone involved, from the patient to future healthcare providers and insurance payers. When you get the documentation right, you create a powerful tool that protects your practice, validates your clinical judgment, and most importantly, supports the long-term health and performance of your patients.
Key Criteria for Patient Evaluations
When documenting HRT, context is everything. Simply noting that a patient is on hormone therapy isn’t enough. The ICD-10 code Z79.890 (Long term (current) use of other specified drugs) should never stand alone on a claim. It needs a partner. You must pair it with another code that specifies the reason for the therapy. This primary diagnosis clarifies the medical necessity, whether it’s for managing postmenopausal symptoms, addressing hypothyroidism, or treating another underlying endocrine condition. This approach ensures the patient’s medical record accurately reflects their full clinical picture, providing a solid foundation for their entire treatment plan.
Recording Hormone Levels and Test Results
Data-driven treatment begins with meticulous record-keeping. For every patient on HRT, it’s vital to document their hormone levels and other relevant lab results. This is especially important when you’re actively managing their treatment. If you are performing ongoing tests to ensure a patient’s hormone levels are within the optimal range, you should include the code Z51.81, which indicates an encounter for therapeutic drug level monitoring. This demonstrates a proactive and personalized approach to care, showing that you are tailoring the therapy based on concrete biological feedback. It validates the treatment strategy and provides a clear, quantitative measure of the patient’s response over time.
Creating Clear Treatment and Monitoring Plans
Vague notes like “Patient on hormones” can create confusion and disrupt continuity of care. A strong treatment plan is specific and detailed. It should clearly outline the patient’s need for HRT, the specific hormones being prescribed, the dosage, and the administration schedule. It’s also helpful to include the clinical goals you aim to achieve, such as symptom relief or reaching specific lab value targets. This level of clear and detailed information not only enhances patient safety but also provides a transparent roadmap for anyone who may be involved in the patient’s care in the future. It transforms the medical record from a simple log into a strategic health document.
Documenting Patient Progress Effectively
Effective documentation tells a story of progress. As you continue to manage a patient’s HRT, your notes should reflect their ongoing journey. Always connect the Z79.890 code back to the primary health issue that necessitates the therapy, whether it’s menopause, andropause, or another diagnosed condition. Using Z79.890 in isolation fails to communicate the full clinical context. By consistently linking the long-term therapy to the primary health issue, you create a cohesive narrative that justifies the continued treatment. This is crucial for demonstrating medical necessity over time and ensuring the patient’s record accurately reflects their long-term health strategy and positive outcomes.
How to Apply and Sequence Codes Correctly
Think of ICD-10 codes as the language you use to tell a patient’s story to payers. The order in which you list them creates the narrative, and getting the sequence right is essential for accurate claims and demonstrating medical necessity. When it comes to hormone replacement therapy, the code Z79.890 (Long-term [current] use of other hormones) plays a crucial supporting role, but it should never be the main character. This code explains that a patient is receiving a specific therapy, but it doesn’t explain why.
The key is to always lead with a primary diagnosis that establishes the medical reason for the treatment. Z79.890 then follows as a secondary code, adding important context about the long-term management plan. This structure not only ensures your claims are clean but also builds a clear, defensible record of care. For practices specializing in functional medicine and hormone optimization, mastering this sequence is fundamental to reflecting the comprehensive, data-driven care you provide. It justifies the treatment protocol and ensures you are properly reimbursed for your expertise.
Selecting the Right Primary Diagnosis
The most common mistake in coding for HRT is listing Z79.890 as the primary diagnosis. This code is designed to be supplementary, not foundational. Your primary diagnosis must always be the specific, underlying condition that makes hormone therapy medically necessary. This is the code that answers the fundamental question: What are you treating?
For example, you might use N95.1 (Menopausal and female climacteric states) for a woman experiencing perimenopausal symptoms or E29.1 (Testicular hypofunction) for a man with clinically low testosterone. Other common primary diagnoses include E28.3 (Primary ovarian failure) or F64.0 (Transsexualism) for gender-affirming care. As leading coding authorities clarify, Z79.890 should not be the only diagnosis. Always start by identifying the root cause documented in the patient’s chart and make that your primary code.
Coding for Secondary Conditions
Once you’ve established the primary diagnosis, Z79.890 finds its proper place as a secondary code. Its job is to provide additional information, signaling to payers that the patient is on a long-term medication plan for the primary condition you’ve already listed. Think of it this way: the primary code identifies the problem, and the secondary Z-code describes the ongoing solution.
Using Z79.890 correctly helps create a complete clinical picture for anyone reviewing the patient’s file, ensuring continuity of care. This approach aligns with documentation guidelines that emphasize the importance of connecting the therapy directly to the core health issue. Submitting a claim with Z79.890 in isolation is a common red flag for payers and can lead to unnecessary denials, so always pair it with a more specific primary diagnosis.
Documenting for Long-Term Treatment
The “long-term use” descriptor in Z79.890 is a signal that the treatment is not a one-time event but an ongoing part of the patient’s health strategy. This makes your clinical documentation even more important. Your records must clearly and consistently support the need for continuous therapy, justifying why the patient remains on hormones over an extended period.
Your documentation should include the initial diagnostic workup, baseline and follow-up lab results, detailed notes on patient-reported symptoms and improvements, and a clear treatment plan. Each entry should reinforce the medical necessity of the primary diagnosis. For long-term treatment, comprehensive documentation is non-negotiable, and that means never leaving Z79.890 to stand on its own. It must always be supported by a primary diagnosis and a robust medical record.
How to Code for Multiple Therapies
Patients undergoing hormone optimization are often receiving other forms of care simultaneously, and your coding should reflect that. If a patient’s treatment plan includes regular lab work to monitor their hormone levels and adjust dosages, you can and should code for it. This is especially relevant for data-driven practices that rely on precise measurements to guide therapy.
In these cases, you can use code Z51.81 (Encounter for therapeutic drug monitoring) in addition to the primary diagnosis and Z79.890. The AAPC recommends this practice to ensure all aspects of the patient’s care are accurately captured. Adding this code helps justify the lab work and demonstrates a commitment to safe and effective treatment, painting a complete picture of the high-touch, personalized care you provide.
A Practical Guide to Insurance and Reimbursement
Navigating insurance for hormone replacement therapy can feel like its own full-time job, but understanding the process helps you advocate for the care you need. It all comes down to clear communication and solid documentation between you, your provider, and your insurance company. Here’s a practical breakdown of what to expect and how to prepare for a smoother reimbursement process.
What Payers Require for Coverage
Insurance payers need specific information to approve coverage for hormone replacement therapy. They primarily look for proof of medical necessity, which means you need a clear diagnosis for a condition like menopause or a documented hormone deficiency. The most common code used is Z79.890, which signals the long-term use of hormone therapy. This code tells payers that the treatment is an ongoing, necessary part of your health plan. Without a solid diagnosis and the correct corresponding codes, getting coverage can be difficult. Make sure your clinical notes clearly connect your symptoms and lab results to the need for HRT.
The Prior Authorization Process
Many insurance companies require prior authorization before they will agree to cover HRT. This is essentially a permission slip from your payer. The process involves your provider submitting a formal request detailing your medical history, the clinical reason for the therapy, and the relevant ICD-10 codes. Some plans may also have a step therapy requirement, meaning you might need to try a different, often lower-cost, treatment first. Following these steps precisely is key to getting the green light, so work closely with your provider to ensure all necessary paperwork is submitted correctly from the start.
Meeting Documentation Standards for Claims
For a claim to be processed successfully, your documentation has to be airtight. Your provider needs to create detailed clinical notes that justify why HRT is medically necessary for you. This includes your initial evaluation, lab results showing hormone levels, your specific treatment plan, and how your progress is being monitored. These notes create a clear story for the payer. Following established documentation requirements is non-negotiable. Every detail, from symptom tracking to dosage adjustments, helps build a strong case for your claim and makes reimbursement much more likely.
How to Prevent Common Claim Denials
Claim denials are frustrating, but many are preventable. The most common culprits are simple errors: missing or incorrect ICD-10 codes, documentation that doesn’t clearly establish medical necessity, or failing to complete the prior authorization process. The best defense is a good offense. Double-check that every piece of paperwork is complete and accurate before it’s submitted. Your provider should be familiar with the official guidelines for coding and reporting to ensure everything is in order. By being meticulous, you can address potential issues before they become reasons for denial.
Key Considerations for Accurate Coding
Accurate coding is the bedrock of a healthy revenue cycle and regulatory compliance. When documenting hormone replacement therapy, a few key considerations can make the difference between a clean claim and a costly denial. Paying attention to common pitfalls, exclusion criteria, and quality metrics will help ensure your documentation is clear, defensible, and precise. This proactive approach not only supports reimbursement but also reflects a high standard of patient care management.
Common Documentation Pitfalls to Avoid
The most frequent error in coding for HRT is using Z79.890 as a standalone diagnosis. This code tells payers what is happening (long-term hormone therapy) but fails to explain why. To prevent an automatic denial, you must always pair Z79.890 with a primary diagnosis that establishes medical necessity, such as menopausal disorders (N95.1) or gender identity disorders (F64.-). Think of Z79.890 as a secondary code that adds context to the patient’s primary condition. Submitting it alone leaves the clinical story incomplete and is a major red flag for auditors. Ensuring the primary diagnosis is clearly linked is the first step to avoiding common claim denials.
Understanding Exclusion Criteria
Just as important as knowing when to use a code is knowing when not to. The ICD-10 guidelines provide specific exclusion criteria for Z79.890 to prevent misapplication. This code is strictly for the long-term, prescribed therapeutic use of hormones. It should never be used to document issues related to substance abuse, dependence, or drug use that complicates pregnancy and childbirth. To ensure you’re coding correctly, always consult the “Excludes1” and “Excludes2” notes associated with the code. An “Excludes1” note indicates the codes should never be used together, while an “Excludes2” note means the excluded condition is not part of the primary diagnosis but can be coded separately if present. Reviewing these guidelines is essential for compliance.
How to Meet Quality Metrics
To create documentation that stands up to scrutiny, you need to capture the full scope of patient care. For patients on HRT, this often includes regular lab work to ensure hormone levels are within a therapeutic range. If you are performing these checks, you should add code Z51.81 (Encounter for therapeutic drug monitoring) to the claim. This provides a more complete clinical picture, justifying the ongoing management of the patient’s care. Including this code not only strengthens your claim but also helps meet quality metrics by demonstrating a thorough and proactive approach to managing the patient’s treatment plan.
Staying Compliant with Regulations
Medical coding guidelines are updated regularly, and staying informed is critical for compliance. Make it a standard practice to review the official ICD-10-CM code set and any relevant updates from payers at least annually. A deep understanding of coding conventions, including the proper application of “Excludes1” and “Excludes2” notes, is non-negotiable for any clinician or coder. These notes provide the official rules for using codes together and are essential for preventing errors. Investing in ongoing education for your team ensures that your practice’s coding practices remain accurate, efficient, and fully compliant with current regulations.
Handling Advanced Coding Scenarios
When your health strategy involves specialized treatments like hormone optimization, the behind-the-scenes documentation becomes more detailed. Think of medical codes as a specific language used to accurately describe your care. Understanding how these codes work for more complex situations ensures your health story is told correctly, which is vital for both your medical records and insurance processing. It’s another way to stay in the driver’s seat of your health journey, ensuring every aspect of your personalized plan is properly accounted for. Let’s walk through how your provider handles documentation for advanced therapies.
Coding for Complex Hormone Therapies
For any type of hormone therapy, there’s a specific medical code that acts as a universal identifier. The primary code used is Z79.890, which signals that a patient is receiving Hormone Replacement Therapy. This code tells a clear story to other providers and insurance companies about the nature of your treatment. Using this precise code is the first step in creating an accurate record of your care. It ensures that the foundational element of your protocol—the hormone therapy itself—is clearly and correctly noted in your file, avoiding any ambiguity about the services you are receiving.
Managing Codes for Concurrent Conditions
The HRT code rarely stands alone. To create a complete picture, it must be paired with another code that explains the underlying reason you need the therapy. This is where a root-cause approach to medicine really shines. For example, the HRT code might be paired with a diagnosis code for menopausal symptoms, andropause, or a specific hormonal imbalance identified in your lab work. This combination of codes provides essential context, answering not just what treatment you’re receiving, but why you’re receiving it. This level of detail is crucial for justifying the medical necessity of your treatment plan.
Coding for Special Patient Groups
Your health journey is unique, and the coding should reflect that. For individuals on long-term or specialized hormone protocols, additional codes are often used to capture the full scope of care. For instance, treatments related to gender-affirming care have their own specific codes that are used alongside the general HRT code. Following detailed documentation guidelines ensures that the coding accurately represents your specific needs and long-term health strategy. This precision helps create a comprehensive medical history that fully supports your ongoing wellness and performance goals, no matter how specialized they are.
Documenting Treatment Modifications
Clear and detailed notes are the backbone of accurate coding. Vague descriptions like “patient on hormones” are not enough. Your provider should maintain meticulous records that include your lab results, specific hormone levels, and the logic behind your treatment plan and any adjustments made over time. This detailed narrative is what gives the codes their meaning and supports the medical necessity of your therapy. Strong documentation is especially important when modifying your treatment, as it creates a clear trail of your progress and justifies any changes to your protocol, ensuring continuity of care and proper insurance reimbursement.
Helpful Resources and Tools for Your Practice
Accurate coding is the backbone of a successful practice, but you don’t have to figure it out alone. Having a reliable support system of tools and references not only streamlines your billing but also ensures you stay compliant and get reimbursed properly. Here are a few key resources to keep in your toolkit.
Recommended Coding Software
Your practice management or EHR software is your first line of defense for accurate coding. The best systems help you connect diagnosis codes with the appropriate procedures. For instance, when using Z79.890, your software should help you identify the correct billing codes for related services like office visits, lab reviews, counseling, or therapeutic injections. Look for software that offers built-in validation checks and easy access to coding libraries. This functionality saves you time and reduces the risk of errors that can lead to claim rejections, letting you focus more on patient care and less on administrative hurdles.
Essential Reference Materials
Every practice needs a go-to source for coding definitions. The American Academy of Professional Coders (AAPC) provides a clear breakdown of ICD-10 code Z79.890, defining it as a medical classification for patients receiving hormone replacement therapy. Beyond just the definition, it’s critical to have resources that outline the specific documentation requirements to support the code. Having a reference that details what constitutes medical necessity, including patient history and lab results, is fundamental. These materials are your foundation for building audit-proof patient records and ensuring your coding tells a complete and accurate story of the care you provide.
Where to Find Further Training
To truly master coding, it helps to go straight to the source. The official guidelines for ICD-10-CM are published by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS). While third-party resources are helpful for day-to-day use, referencing the official manuals gives you the definitive word on coding rules. For example, understanding that Z79.890 comes from the official 10th edition of the ICD-10-CM helps you ground your practice in the most current and authoritative information available. Regularly reviewing these primary sources is a key part of professional development for any clinician or biller in this space.
Staying Current with Industry Guidelines
The world of medical coding is not static. Guidelines change, and staying on top of them is essential for compliance and reimbursement. It’s not enough to know the code; you also need to understand the rules that govern its use. Pay close attention to the detailed notes and guidelines, especially the “Excludes1” and “Excludes2” notes. These instructions tell you which codes can and cannot be reported together, preventing common pairing errors that lead to denials. Subscribing to updates from sources like the AAPC or CMS ensures you are always working with the latest information and can adapt your billing practices accordingly.
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Frequently Asked Questions
Why should I care about a medical code like Z79.890? Think of it as being an informed partner in your own healthcare. This code is the universal language that ensures your doctor, lab, and insurance provider are all on the same page about your treatment. Understanding what it means helps you confirm your medical records are accurate and that your therapy is being properly documented. This precision is essential for seamless care, from getting prescriptions refilled to ensuring your insurance claims are processed correctly.
Does having the right code mean my insurance will automatically cover my HRT? While the right code is a critical piece of the puzzle, it doesn’t guarantee coverage on its own. Insurance coverage depends on your specific plan and on proving that the therapy is medically necessary. The code Z79.890 must be paired with a primary diagnosis that explains why you need treatment. Your provider’s detailed notes and your lab results are what build the case for that necessity, and the codes simply tell that story in a standardized way.
The code mentions “long-term” therapy. Does that mean I’ll be on hormones forever? Not necessarily. In this context, “long-term” just means the treatment is ongoing rather than a one-time fix. Your hormone therapy is dynamic and completely personalized. We continuously monitor it with follow-up lab tests and adjust your plan based on your body’s response and your evolving health goals. The duration of your therapy is an ongoing conversation between you and your provider, designed to support you for as long as it serves your well-being.
How do my lab results fit into this documentation process? Your lab results are the foundation of your entire treatment plan. They provide the objective data that establishes your baseline hormone levels and proves the medical need for therapy in the first place. Your provider uses these numbers to justify the primary diagnosis code that accompanies the Z79.890 code. Ongoing tests then show how the therapy is working, which supports the use of monitoring codes and demonstrates a proactive, data-driven approach to managing your health.
Is the documentation process for HRT different for men and women? The core process is the same for everyone. It always involves establishing a medical need with a primary diagnosis and then using the Z79.890 code to show you’re on a long-term therapy plan. The main difference is the primary diagnosis itself. For a woman, the diagnosis might be related to menopause, while for a man, it could be for low testosterone. The specific symptoms and lab markers will differ, but the principle of pairing a “why” (the diagnosis) with a “what” (the therapy) always stays the same.