Z90.79: Acquired absence of other genital organ(s)
Z90.79, acquired absence of other genital organ(s), is listed as a covered diagnosis in 3 Medicare billing and coding articles that apply to 6 HCPCS Level II codes, including J1071 (Injection, testosterone cypionate, 1 mg), J3145 (Injection, testosterone undecanoate, 1 mg), J3490 (Unclassified drugs). The articles come from 2 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.
HCPCS Level II codes with Z90.79 as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| J1071 | Injection, testosterone cypionate, 1 mg | Special coverage instructions apply | — | 1 |
| J3145 | Injection, testosterone undecanoate, 1 mg | Special coverage instructions apply | — | 1 |
| J3490 | Unclassified drugs | Special coverage instructions apply | — | 1 |
| J3121 | Injection, testosterone enanthate, 1 mg | Special coverage instructions apply | — | 1 |
| J1072 | Injection, testosterone cypionate (azmiro), 1 mg | Special coverage instructions apply | — | 1 |
| G0130 | Single energy x-ray absorptiometry (sexa) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel) | Special coverage instructions apply | — | 2 |
Medicare policy articles listing Z90.79
- A58828: Billing and Coding: Treatment of Males with Low Testosterone (Palmetto GBA (MAC - Part A, MAC - Part B); 5 Level II codes). LCD with the same title: L36538, L39086
- A59040: Billing and Coding: Bone Mass Measurement (Palmetto GBA (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L36460, L39268
- A57132: Billing and Coding: Bone Mass Measurement (CGS Administrators, LLC (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L36460, L39268
A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.
Other Z90 diagnoses (Acquired absence of organs, not elsewhere classified)
- Z90.11 — Acquired absence of right breast and nipple
- Z90.12 — Acquired absence of left breast and nipple
- Z90.13 — Acquired absence of bilateral breasts and nipples
Frequently asked questions
Does Medicare cover Z90.79 (Acquired absence of other genital organ(s))?
Medicare covers items and services, not diagnoses. 3 Medicare billing and coding articles list Z90.79 as a covered diagnosis for 6 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.
Which HCPCS codes can be billed with ICD-10 Z90.79?
The Level II codes from the policies most specific to this diagnosis are J1071 (Injection, testosterone cypionate, 1 mg, 1 article); J3145 (Injection, testosterone undecanoate, 1 mg, 1 article); J3490 (Unclassified drugs, 1 article); J3121 (Injection, testosterone enanthate, 1 mg, 1 article); J1072 (Injection, testosterone cypionate (azmiro), 1 mg, 1 article). Code choice depends on the item supplied; check each code's descriptor.
Which Medicare policy articles list Z90.79?
A58828 (Billing and Coding: Treatment of Males with Low Testosterone); A59040 (Billing and Coding: Bone Mass Measurement); A57132 (Billing and Coding: Bone Mass Measurement).
What is ICD-10-CM code Z90.79?
Z90.79 is the ICD-10-CM code for acquired absence of other genital organ(s), in category Z90 (Acquired absence of organs, not elsewhere classified), chapter 22: Factors influencing health status and contact with health services.
Next steps
- Run a reimbursement report for a device billed under J1071
- Watch J1071 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for J1071
Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.
Chapter 22: Factors influencing health status and contact with health services · All diagnoses · HCPCS lookup