ICD-10 Coding for Cushing's Disease(E24.0, E24.2)
Complete ICD-10-CM coding and documentation guide for Cushing's Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cushing's Disease
E24.0-E24.9Primary Range
Cushing's syndrome
This range includes all forms of Cushing's syndrome, with E24.0 specifically for pituitary-dependent cases.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E24.0 | Pituitary-dependent Cushing's disease | Use when pituitary adenoma is confirmed as the cause of ACTH excess. |
|
| E24.2 | Iatrogenic Cushing's syndrome | Use when Cushing's syndrome is due to external glucocorticoid 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 Cushing's disease
Essential facts and insights about Cushing's Disease
Primary ICD-10-CM Codes for cushing's disease
Decision Criteria
clinical Criteria
- Presence of pituitary adenoma on MRI
documentation Criteria
- Documentation must specify 'pituitary-dependent' or 'ACTH-secreting pituitary adenoma'
Applicable To
- Cushing's disease due to pituitary adenoma
Clinical Validation Requirements
- Elevated ACTH levels
- Pituitary lesion on MRI
- Positive CRH stimulation test
Code-Specific Risks
- Incorrectly coding without MRI confirmation
- Confusing with other forms of Cushing's syndrome
Coding Notes
- Ensure documentation specifies pituitary origin to avoid claim denials.
E24.2 - Iatrogenic Cushing's syndrome
Use when Cushing's syndrome is due to external glucocorticoid use.
Applicable To
- Cushing's syndrome due to prolonged glucocorticoid therapy
Excludes
- Pituitary-dependent Cushing's disease (E24.0)
Clinical Validation Requirements
- History of glucocorticoid use >1 month
Coding Notes
Ensure documentation includes history of steroid use.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Type 2 diabetes mellitus with ophthalmic complications
E11.31Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Cushing's Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E24.0.
Impact
Clinical: Leads to incorrect treatment plans., Regulatory: Fails to meet coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Train staff on documentation specificity, Use templates with required fields
Impact
Reimbursement: May lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use E24.8 until imaging confirms pituitary source.
Impact
Lack of specific cause in documentation can lead to audits.
Mitigation Strategy
Ensure all documentation specifies the cause of Cushing's syndrome.
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 Cushing's Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cushing's Disease
Use these documentation templates to ensure complete and accurate documentation for Cushing's Disease. These templates include all required elements for proper coding and billing.
Endocrinology Progress Note
Specialty: EndocrinologyRequired Elements
- Assessment
- Plan
- Imaging results
- Lab results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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