ICD-10 Coding for Adrenalectomy(E27.0, E27.2)
Complete ICD-10-CM coding and documentation guide for Adrenalectomy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Adrenalectomy
E24-E27Primary Range
Disorders of adrenal glands
This range includes conditions that may necessitate adrenalectomy, such as adrenal tumors or hyperplasia.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E27.0 | Other adrenocortical overactivity | Use when adrenalectomy is performed due to confirmed adrenal adenoma causing overactivity. |
|
| E27.2 | Addison's disease | Use when adrenalectomy is performed due to primary adrenal insufficiency. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for adrenalectomy
Essential facts and insights about Adrenalectomy
Primary ICD-10-CM Codes for adrenalectomy
Decision Criteria
clinical Criteria
- Presence of adrenal adenoma confirmed by imaging
Applicable To
- Cushing's syndrome due to adrenal adenoma
Excludes
- Cushing's syndrome due to ectopic ACTH (E24.3)
Clinical Validation Requirements
- Clinical diagnosis of adrenal adenoma
- Imaging studies confirming adrenal mass
Code-Specific Risks
- Misclassification if ectopic ACTH is the cause
Coding Notes
- Ensure documentation specifies the cause of adrenal overactivity to avoid incorrect coding.
E27.2 - Addison's disease
Use when adrenalectomy is performed due to primary adrenal insufficiency.
Applicable To
- Primary adrenocortical insufficiency
Excludes
- Secondary adrenocortical insufficiency (E27.4)
Clinical Validation Requirements
- Clinical diagnosis of Addison's disease
- Laboratory confirmation of adrenal insufficiency
Coding Notes
Ensure differentiation between primary and secondary causes of adrenal insufficiency.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Laparoscopic lymph node dissection
38589Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Adrenalectomy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E27.0.
Impact
Clinical: Inaccurate procedure classification., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Always document whether the approach was open or laparoscopic.
Impact
Reimbursement: Incorrect bundling may lead to denied claims., Compliance: Non-compliance with NCCI edits., Data Quality: Inaccurate procedure reporting.
Mitigation Strategy
Ensure adrenalectomy is not separately coded when performed with radical nephrectomy.
Impact
Risk of incorrect bundling of adrenalectomy with other procedures.
Mitigation Strategy
Regularly review NCCI edits and ensure documentation supports separate coding.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Adrenalectomy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Adrenalectomy
Use these documentation templates to ensure complete and accurate documentation for Adrenalectomy. These templates include all required elements for proper coding and billing.
Laparoscopic adrenalectomy for adrenal adenoma
Specialty: UrologyRequired Elements
- Procedure type
- Specimen details
- Tumor characteristics
- Margins
- Lymph nodes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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