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Dx for Andropause

  1. #1
    Sonoma County
    Default Dx for Andropause
    Medical Coding Books
    Can anyone tell me what Dx is used for Andropause?
    Mary Mullnix, CPC, CHCA, Santa Rosa Chapter.

  2. #2
    Stuart, Florida
    This is the information posted on Wikipedia pertaining to Andropause, but you may want to do some more research anyway.

    Andropause, or male menopause, is a name that has been given to a menopause-like condition in aging men. This relates to the slow but steady reduction of the production of the hormones testosterone and dehydroepiandrosterone in middle-aged men, and the consequences of that reduction, which is associated with a decrease in Leydig cells.

    Unlike women, middle-aged men do not experience a complete and permanent physiological shutting down of the reproductive system as a normal event. A steady decline in testosterone levels with age (in both men and women) is well documented.

    Unlike "menopause", the word "andropause" is not currently recognized by the World Health Organization and its ICD-10 medical classification. This is likely because "Andropause" is a term of convenience describing the stage of life when symptoms in aging appear in men. While the words are sometimes used interchangeably, hypogonadism is a deficiency state in which the hormone testosterone goes below the normal range for even an aging male.
    Vanessa Mier, CPC

  3. Default
    Yes Andropause is a "male version" condition of 'menopause for female'. Just as menopause is a physiological process, this is also a physiological ongoing event in males as aging, due to slow steady decreasing androgenic hormones.
    It is otherwise called climateric (male) and it passes as a natural physiological phase in male life cycle and gracefully welcomed by many males.
    'Climateric' is the term most commonly used than the andropause.
    Nowadays, they are trying to eliminate this terminology (andropause).

    When this state of physiological event becomes a concern for the individual, it is states as a sort of paraphrenia.
    [B]ICD-9 index denotes and places climateric under 297.2[/B]

  4. #4
    Stuart, Florida
    I HIGHLY disagree with assigning a MENTAL DISORDER in place of Andropause, which essentially is a hormone deficiency. It is up to the doctor to diagnose the patient with a mental disorder, NOT THE CODER. If anything, I would look to see if the doctor specified any of the symptoms of Andropause, that the patient may be suffering from, and code those.

    Paraphrenia is a group of psychotic illnesses distinct from paranoia and from schizophrenia. In patients suffering from this type of psychosis, personality decay is minimal, and emotional rapport is well retained. The onset occurs around age 40.

    Furthermore, paraphrenia is characterized by the preoccupation with one or more semisystematized delusions. These delusions are not encapsulated from the rest of the personality as in delusional disorder. The affect is notably well-preserved and appropriate, as is the ability to maintain rapport with others. There is no intellectual deterioration, no flat nor grossly inappropriate affect. Disturbance of behavior is understandable in relation to the content of the delusions. The illness is associated with distress and agitation. Irrational behaviour may appear as delusions become more vivid and judgment lessens. Patients may accuse others of persecution and complain to the authorities.

    The predisposing factors in the onset of the disease are associated with severe stressors such as social isolation, migrant status and deafness.

    Paraphrenia was coined by Karl Ludwig Kahlbaum in 1863 not to name some specific disorder, but to draw attention that certain psychiatric disorders tend to develop at a certain age. Kahlbaum used for instance to distinguish between paraphrenia hebetica (the insanity of the adolescence) from paraphrenia senilis (the insanity of the elders).

    In 1913 Emil Kraepelin revived the term to denote a comparatively small group of cases which he thought were sufficiently distinct from schizophrenia. Kraepelin distinguished paraphrenia from schizophrenia mainly by its course; according to him, patients with paraphrenia showed a "far sligheter development of the disorders of emotion and volition" compared to schizophrenia. Although Kraepelin did not give an explanation for his choice of terminology, clinical psychologist P. J. McKenna speculates that Kraepelin might have wished to emphasize a relation to paranoid schizophrenia on one hand, and with paranoia on the other. Kraepelin's paraphrenia concept however was controversial from the outset. One of his contemporaries, Wilhelm Mayer followed up a group of Krapelin's original paraphrenic patients and concluded that with, the passage of time, patients with paraphernia tend to merge into the pool of chronic schizophrenic patients.
    Vanessa Mier, CPC

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