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CPT / ICD Code Lookup

What the CPT / ICD Code Lookup does

This page holds a searchable reference table of the CPT billing codes and ICD-10 diagnosis codes that come up most often around women's hormonal prescriptions and lab work. Type a code or a keyword (for example "testosterone", "PCOS", "GLP-1", or "84443") and the table filters to matching rows. You can also limit the view to CPT codes only, ICD-10 codes only, or show everything.

It answers a narrow, practical question: when a prescription, a lab order, or an insurance denial references a code, what does that code mean and what context does it usually sit in? Each row gives the code, whether it is a CPT (billing/procedure) or ICD-10 (diagnosis) code, a plain-language description, and a short note on where it typically shows up. The list is fixed and curated for hormonal care, so it is a quick decoder, not a full medical-coding database.

How to read your result

Read the CPT and ICD-10 columns as two different jobs. A CPT code names a service that was performed or billed for, such as an estradiol assay (82670), a TSH test (84443), a total testosterone test (84403), or an established-patient telehealth visit (99213 or 99214). An ICD-10 code names the diagnosis that justifies that service, such as postmenopausal atrophic vaginitis (N95.2), PCOS (E28.2), or class 3 obesity (E66.813). Insurers generally want both to line up: a covered diagnosis paired with the service being claimed.

The "Context" note is the most useful column for anyone dealing with a prior authorization or a denied claim. It flags, for instance, that E66.813 (BMI at or above 40) is listed as qualifying for a GLP-1 prior authorization without a separate comorbidity, or that 83001 is marked as an alternate FSH code some plans use. If your paperwork shows a code that does not match what you expected, this table helps you see the mismatch before you call your plan or your prescriber's billing office.

Use it as preparation, not as the final word. The right next step is to bring the code and its meaning to the person who ordered the test or wrote the prescription, or to your insurer, and confirm it against your specific plan. If you are weighing where to get care or which telehealth provider to work with, you can compare providers on this site with the actual service codes in hand.

What the result is based on

Everything shown comes from a single fixed list built into the page: 23 codes in total, 12 CPT and 11 ICD-10, each with a hand-written description and context note. There is no external database, no live coding API, and no lookup service behind it. Searching only checks whether your text appears inside a code, its description, or its context note, and the type buttons filter to CPT or ICD-10.

The selection is deliberately scoped to women's hormonal health: hormone and metabolic labs (estradiol, FSH, LH, prolactin, free and total testosterone, TSH, AMH, HbA1c), two common telehealth visit codes, and diagnosis codes spanning menopause and GSM, PCOS, thyroid, obesity classes used for GLP-1 requests, and depression/anxiety used for SSRI requests. Codes outside this scope simply are not in the table.

Because the list is static, it reflects the codes as they were entered by the site, not a real-time feed from CMS, the AMA, or any payer. Code sets and payer rules change over time, and the descriptions here are simplified for a general reader rather than copied verbatim from an official coding manual.

What it cannot tell you

  • It contains only these 23 curated codes. Any CPT or ICD-10 code outside the hormonal-care scope will not appear, and a blank result means "not in this list," not "not a real code."
  • It cannot tell you whether your specific insurance plan covers a service or accepts a given diagnosis-to-procedure pairing. Coverage rules, prior-authorization criteria, and BMI or comorbidity thresholds vary by payer and are not encoded here.
  • It does not validate combinations, modifiers, units of service, or place-of-service rules. Correct medical billing often depends on details this table does not model, such as required modifiers or documentation.
  • Descriptions are simplified plain-language summaries, not the official CMS/AMA long descriptors. For claims, appeals, or audits, the wording in the current official code set governs, not the wording here.
  • The list is static and can fall out of date as CPT and ICD-10 sets are revised annually. There is no live sync, so a code shown here may have been changed or retired since it was entered.
  • It offers no clinical judgment about whether a test or diagnosis applies to you. Whether a code fits your situation is a question for the clinician who ordered or coded the care.

Frequently asked questions

What is the difference between a CPT code and an ICD-10 code?

A CPT code identifies a service or procedure that was done, like a lab test or an office visit; an ICD-10 code identifies the diagnosis that explains why it was done. On a claim they work as a pair. This tool tags every row as one or the other so you can tell which is which, and lets you filter to see only CPT or only ICD-10 codes.

Can I use this to appeal an insurance denial or a prior authorization?

You can use it to understand the codes involved so you go into that conversation informed. It shows, for example, which obesity class codes are listed as relevant to GLP-1 prior authorizations. It does not decide coverage or generate an appeal. Your insurer's plan documents and your prescriber's billing office are the authorities on what a specific denial requires.

Does the tool look up codes from an official government database?

No. It searches a fixed, hand-curated list of 23 codes built for women's hormonal health. There is no live connection to CMS, the AMA, or any payer system, so treat it as a quick decoder and confirm anything important against the current official code set.

Why can't I find the code I searched for?

The list only covers hormonal prescriptions, related labs, and a couple of telehealth visit codes. If a code is not in that scope, the table returns nothing. A blank result means the code is outside this curated set, not that the code is invalid.

Does this page give medical or billing advice?

No. It is educational reference material. It does not diagnose, prescribe, bill, or replace a clinician or a certified medical coder. Use it to prepare questions for your prescriber, your lab, or your insurer, and let those parties confirm what applies to you.

Are the code descriptions the same as what's on official coding manuals?

They are simplified for a general reader, not the verbatim official long descriptions. For claims, audits, or appeals, the exact wording in the current CPT and ICD-10 code sets is what governs.

This tool is for education and planning. It does not diagnose, prescribe, or replace advice from a licensed clinician. Bring your result to a provider to decide what is right for you.