ICD-10 Coding for Cushing Syndrome(E24.0, E24.2)
Complete ICD-10-CM coding and documentation guide for Cushing Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cushing Syndrome
E24Primary Range
Cushing's syndrome
This range includes all forms of Cushing's syndrome, including pituitary-dependent, ectopic ACTH syndrome, and drug-induced Cushing's.
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 Cushing's syndrome is confirmed to be pituitary-dependent. |
|
| E24.2 | Drug-induced Cushing's syndrome | Use when Cushing's syndrome is caused by exogenous steroid 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 syndrome
Essential facts and insights about Cushing Syndrome
Primary ICD-10-CM Codes for cushing syndrome
Decision Criteria
clinical Criteria
- Confirmed pituitary adenoma with elevated ACTH
Applicable To
- ACTH-secreting pituitary adenoma
Excludes
- Drug-induced Cushing's syndrome (E24.2)
Clinical Validation Requirements
- Elevated ACTH levels
- MRI showing pituitary adenoma
Code-Specific Risks
- Misclassification if etiology is not confirmed
Coding Notes
- Ensure documentation specifies pituitary origin.
E24.2 - Drug-induced Cushing's syndrome
Use when Cushing's syndrome is caused by exogenous steroid use.
Applicable To
- Cushing's syndrome due to long-term steroid use
Excludes
- Pituitary-dependent Cushing's disease (E24.0)
Clinical Validation Requirements
- History of prolonged steroid use
- Clinical features of Cushing's syndrome
Coding Notes
Document the 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 Cushing Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E24.0.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Ensure thorough documentation of patient history and diagnostic findings.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Query for specific etiology and use the appropriate code.
Impact
Audits may focus on the specificity of the documented etiology.
Mitigation Strategy
Ensure detailed documentation and use of specific codes.
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 Syndrome, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cushing Syndrome
Use these documentation templates to ensure complete and accurate documentation for Cushing Syndrome. These templates include all required elements for proper coding and billing.
Endocrinology consultation for suspected Cushing's syndrome
Specialty: EndocrinologyRequired Elements
- Patient history
- Physical examination findings
- Laboratory results
- Imaging studies
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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