ICD-10-CM 2027 diagnosis code
E30.0Delayed puberty
E30.0 is a valid, billable ICD-10-CM code for delayed puberty. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About E30.0
E30.0 is the ICD-10-CM diagnosis code for delayed puberty. It belongs to category E30 (disorders of puberty, not elsewhere classified), block E20-E35 (disorders of other endocrine glands) and chapter 4 (endocrine, nutritional and metabolic diseases). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
Within E30 (disorders of puberty, not elsewhere classified), E30.0 is specifically for delayed puberty. Related codes cover Precocious puberty (E30.1), other disorders of puberty (E30.8) and disorder of puberty, unspecified (E30.9).
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 643 (Endocrine Disorders with MCC, relative weight 1.6139), DRG 644 (Endocrine Disorders with CC, relative weight 1.0044) and DRG 645 (Endocrine Disorders without CC/MCC, relative weight 0.7459), in MDC 10 (Endocrine, Nutritional and Metabolic Diseases and Disorders), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as 259.0 (delay in sexual development and puberty, not elsewhere classified).
Coding notes
- Constitutional delay of puberty
- Delayed sexual development
Notes that apply from higher levels
Instructions written at a parent level also apply to E30.0.
Broader instructions also apply from E20-E35 Disorders of other endocrine glands and Chapter 4: Endocrine, nutritional and metabolic diseases.
Alphabetic index entries
16 entriesTerms in the official ICD-10-CM index that lead to E30.0.
- Delay, delayed › development › sexual
- Delay, delayed › menarche
- Delay, delayed › puberty (constitutional)
- Delay, delayed › sexual maturation, female
- Immaturity (less than 37 completed weeks) › sexual (female) (male), after puberty
- Inadequate, inadequacy › development › genitalia › after puberty NEC
- Infancy, infantile, infantilism › genitalia, genitals (after puberty)
- Infantile › genitalia, genitals
- Infantile › os, uterine
- Infantile › penis
- Infantile › uterus
- Menarche › delayed
- Puberty (development state) › delayed
- Sexual › immaturity (female) (male)
- Underdevelopment › sexual
- Undeveloped, undevelopment › uterus
Codes whose notes reference E30.0
- R62Excludes1
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 10 · Endocrine, Nutritional and Metabolic Diseases and Disorders
ICD-9-CM equivalent
Converter →- 259.0Delay in sexual development and puberty, not elsewhere classifiedexact
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about E30.0
Is E30.0 billable?
- Yes. E30.0 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can E30.0 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict E30.0 as a principal diagnosis.
Is E30.0 a CC or MCC?
- No. E30.0 is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does E30.0 group to?
- E30.0 is used in the MS-DRG v44.0 logic for MS-DRG 643 (Endocrine Disorders with MCC), MS-DRG 644 (Endocrine Disorders with CC) and MS-DRG 645 (Endocrine Disorders without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.
What is the ICD-9 code for E30.0?
- The CMS General Equivalence Mappings map E30.0 to ICD-9-CM 259.0.