ICD-10 Coding for Cortisol Disorders(E27.1, E27.2, E27.3)
Complete ICD-10-CM coding and documentation guide for Cortisol Disorders. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cortisol Disorders
E27.0-E27.9Primary Range
Other disorders of adrenal gland
This range includes various adrenal gland disorders, including primary and secondary adrenal insufficiency, Addison's disease, and drug-induced adrenal insufficiency.
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 there is confirmed autoimmune destruction or genetic adrenal defects. |
|
| E27.2 | Addisonian crisis | Use for acute decompensation with hypotension and electrolyte imbalance. |
|
| E27.3 | Drug-induced adrenocortical insufficiency | Use when adrenal insufficiency is due to recent glucocorticoid withdrawal or medication use. |
|
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 cortisol deficiency
Essential facts and insights about Cortisol Disorders
Primary ICD-10-CM Codes for cortisol
Decision Criteria
clinical Criteria
- Confirmed autoimmune destruction or genetic adrenal defects.
Applicable To
- Addison's disease
Excludes
- Secondary adrenocortical insufficiency (E27.3)
Clinical Validation Requirements
- AM cortisol <3 μg/dL
- Elevated ACTH >50 pg/mL
- Positive 21-hydroxylase antibodies
Code-Specific Risks
- Risk of audit if unspecified etiology is documented.
Coding Notes
- Ensure documentation specifies primary adrenal insufficiency with supporting lab results.
E27.2 - Addisonian crisis
Use for acute decompensation with hypotension and electrolyte imbalance.
Applicable To
- Acute adrenal crisis
Excludes
- Chronic adrenal insufficiency (E27.1)
Clinical Validation Requirements
- Cortisol <10 μg/dL
- Na+ <130 mEq/L
- K+ >5.5 mEq/L
Coding Notes
Document acute symptoms and lab results to support coding.
E27.3 - Drug-induced adrenocortical insufficiency
Use when adrenal insufficiency is due to recent glucocorticoid withdrawal or medication use.
Applicable To
- Adrenal insufficiency due to medication
Excludes
- Primary adrenocortical insufficiency (E27.1)
Clinical Validation Requirements
- Recent glucocorticoid withdrawal
- Cortisol <5 μg/dL
- ACTH stimulation test Δ <9 μg/dL
Coding Notes
Document medication history and withdrawal details.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Cortisol lab test
82533Differential 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 Cortisol Disorders to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E27.1.
Impact
Clinical: May lead to incorrect treatment plans., Regulatory: Increased risk of audits., Financial: Potential for denied claims.
Mitigation Strategy
Always document medication history and withdrawal details.
Impact
Reimbursement: Unspecified codes may lead to lower reimbursement rates., Compliance: Increased risk of audits and compliance issues., Data Quality: Decreases data accuracy and quality.
Mitigation Strategy
Use specific codes like E27.1 or E27.2 when etiology is known.
Impact
Using unspecified codes increases audit risk.
Mitigation Strategy
Use specific codes with documented etiology.
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 Cortisol Disorders, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cortisol Disorders
Use these documentation templates to ensure complete and accurate documentation for Cortisol Disorders. These templates include all required elements for proper coding and billing.
Chronic adrenal insufficiency management
Specialty: EndocrinologyRequired Elements
- Symptoms
- Lab results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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