ICD-10 Coding for Adrenocortical Insufficiency(E27.1, E27.2, E27.3)
Complete ICD-10-CM coding and documentation guide for Adrenocortical Insufficiency. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Adrenocortical Insufficiency
E27.1-E27.9Primary Range
Disorders of adrenal glands
This range includes primary, secondary, and drug-induced adrenal insufficiency, as well as adrenal crisis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E27.1 | Primary adrenocortical insufficiency | Use when primary adrenal insufficiency is confirmed by lab tests and clinical presentation. |
|
| E27.2 | Addisonian crisis | Use during acute adrenal crisis with documented hypotension and electrolyte imbalance. |
|
| E27.3 | Drug-induced adrenocortical insufficiency | Use when adrenal insufficiency is secondary to drug use, confirmed by testing. |
|
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 Addison's disease
Essential facts and insights about Adrenocortical Insufficiency
Primary ICD-10-CM Codes for adrenocortical insufficiency
Decision Criteria
clinical Criteria
- Presence of elevated ACTH and low cortisol
Applicable To
- Addison's disease
- Autoimmune adrenalitis
Excludes
- Secondary adrenocortical insufficiency (E27.49)
Clinical Validation Requirements
- AM cortisol <3 mcg/dL
- ACTH >100 pg/mL
- Positive adrenal autoantibodies
Code-Specific Risks
- Misclassification as secondary insufficiency
- Omission of autoantibody status
Coding Notes
- Ensure documentation specifies primary vs. secondary insufficiency.
E27.2 - Addisonian crisis
Use during acute adrenal crisis with documented hypotension and electrolyte imbalance.
Applicable To
- Adrenal crisis
Clinical Validation Requirements
- Hypotension unresponsive to fluids
- Hyponatremia
- Hypoglycemia
Coding Notes
Ensure crisis symptoms are clearly documented.
E27.3 - Drug-induced adrenocortical insufficiency
Use when adrenal insufficiency is secondary to drug use, confirmed by testing.
Applicable To
- Adrenal insufficiency due to prolonged glucocorticoid use
Clinical Validation Requirements
- ACTH stimulation test: peak cortisol <18 mcg/dL
- Documented drug use history
Coding Notes
Document specific drug and duration of use.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Adrenocortical Insufficiency to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E27.1.
Impact
Clinical: Mismanagement of patient treatment, Regulatory: Non-compliance with coding standards, Financial: Potential denial of claims
Mitigation Strategy
Always document specific drugs and duration, Use templates to ensure completeness
Impact
Reimbursement: Incorrect DRG assignment may affect reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Query provider for specific type: primary, secondary, or drug-induced.
Impact
Incomplete documentation of crisis symptoms can lead to audit issues.
Mitigation Strategy
Use standardized templates to ensure all symptoms are documented.
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 Adrenocortical Insufficiency, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Adrenocortical Insufficiency
Use these documentation templates to ensure complete and accurate documentation for Adrenocortical Insufficiency. These templates include all required elements for proper coding and billing.
Adrenal Crisis in Emergency Department
Specialty: Emergency MedicineRequired Elements
- Vital signs
- Electrolyte levels
- Crisis-specific interventions
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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