ICD-10 Code for Puberty

Also indexed as (development state)

The ICD-10-CM code for puberty is Z00.3 — Encounter for examination for adolescent development state. This is the code the Alphabetic Index gives for puberty with no further qualifier, valid for FY2027 (October 1, 2026 – September 30, 2027).

Billable

Which puberty code should you use?

The Alphabetic Index lists 10 codes under Puberty. Which one applies depends on the qualifier documented in the record — the type, site, cause, or associated condition. Find the qualifier below, then verify the code in the Tabular List before using it.

By type

bleeding	N92.2	Excessive menstruation at puberty
delayed	E30.0	Delayed puberty
precocious	E30.1	Precocious puberty
premature	E30.1	Precocious puberty

Puberty precocious

central	E22.8	Other hyperfunction of pituitary gland
due to › ovarian hyperfunction	E28.1	Androgen excess
due to › testicular hyperfunction	E29.0	Testicular hyperfunction
due to › ovarian hyperfunction › estrogen	E28.0	Estrogen excess

Puberty premature

due to › adrenal cortical hyperfunction	E25.8	Other adrenogenital disorders
due to › pineal tumor	E34.8	Other specified endocrine disorders
due to › pituitaryhyperfunction	E22.8	Other hyperfunction of pituitary gland

Index terms and codes are reproduced from the official ICD-10-CM FY2027 release. The Alphabetic Index is a finding aid — a code must always be verified in the Tabular List before it is reported. Data sources