2026 ICD-10-CM Diagnosis Code E30.0Delayed puberty

ICD-10-CM Codes›E00–E89›E20-E35›E30

ICD-10-CM E30.0
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

E30.0 is a billable ICD-10-CM diagnosis code for delayed puberty. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 643 through 645. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified and unspecified endocrine disorders.

Code Identity

ICD-10-CM Code
E30.0
Billable Status
Yes — Valid for Submission
Code Describes
Delayed puberty
Short Description
Delayed puberty
Same as the full description in the CMS dataset.
Parent Code
E30
Disorders of puberty, not elsewhere classified

Code Classification

ChapterE00–E89Endocrine, nutritional and metabolic diseases
SectionE20-E35Disorders of other endocrine glands
CategoryE30Disorders of puberty, not elsewhere classified
This CodeE30.0Delayed puberty

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Arrested puberty
  • Choanal atresia
  • Choanal atresia, athelia, hypothyroidism, delayed puberty, short stature syndrome
  • Constitutional delay of growth and puberty
  • Delay in sexual development AND/OR puberty
  • Delayed adrenarche
  • Delayed female puberty
  • Delayed growth of secondary sexual hair
  • Delayed menarche
  • Delayed milestone
  • Delayed puberty
  • Developmental malformation of branchial arch
  • Ear, face and neck congenital anomalies
  • Female puberty disorder
  • Finding of secondary sexual hair growth
  • Late menarche
  • Menarche

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Constitutional delay of puberty
  • Delayed sexual development

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • 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

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR END015
Other specified and unspecified endocrine disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Menarche

    the first menstrual cycle marked by the initiation of menstruation.

  • Choanal Atresia

    a congenital abnormality that is characterized by a blocked choanae, the opening between the nose and the nasopharynx. blockage can be unilateral or bilateral; bony or membranous.

  • Age at Menarche|MENARAGE|Menarche Age|Menarche Age

    age of an individual at their first menstruation.

  • Post-menarchal|Post-menarcheal|Post-menarchial|Postmenarchal|Postmenarcheal|Postmenarchial

    after first menstruation (menarche).

  • Age at Menarche|MENARAGE|Menarche Age|Menarche Age

    age of first menstruation. a risk factor for breast cancer

  • Isolated Premature Menarche|Premature Menarche

    occurrence of the first menstrual period in a girl before the lower limit of the normal age range for the reference population, without other signs of puberty.

  • Menarche

    onset of menses.

  • Premature Menarche

    occurrence of the first menstrual period in a female before the usual or expected age.

  • Primary Amenorrhea|Delayed Menarche|Delayed Menarche

    abnormally late or absent menarche in a female with normal secondary sexual characteristics.

  • Menarche Indicator|MENARIND

    an indication as to whether the individual's first menstruation event has occurred.

Patient EducationClinical

Puberty

Puberty is the time in life when a boy or girl becomes sexually mature. It is a process that usually happens between ages 10 and 14 for girls and ages 12 and 16 for boys. It causes physical changes, and affects boys and girls differently.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert E30.0 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
259.0 Delay sexual develop NEC
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About E30.0Overview

Is E30.0 (Disorders of puberty, not elsewhere classified) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report delayed puberty on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does E30.0 group to?

When delayed puberty is the principal diagnosis on an inpatient stay, it groups to MS-DRG 643, 644, 645, with relative weights from 0.7683 to 1.6461 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of E30.0?

Under the General Equivalence Mappings, delayed puberty converts to ICD-9-CM 259.0 (delay sexual develop NEC). The mapping is a direct match.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.