ICD-10 Coding for Hypercortisolism(E24.0, E24.1)
Complete ICD-10-CM coding and documentation guide for Hypercortisolism. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hypercortisolism
E24.0-E24.9Primary Range
Cushing's syndrome and related conditions
This range includes all forms of Cushing's syndrome, including pituitary-dependent, ectopic ACTH syndrome, and other specified forms.
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 is confirmed to be pituitary-dependent with ACTH-secreting adenoma. |
|
| E24.1 | Ectopic ACTH syndrome | Use when Cushing's is due to ectopic ACTH production from a tumor. |
|
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 hypercortisolism
Essential facts and insights about Hypercortisolism
Primary ICD-10-CM Codes for hypercortisolism
Decision Criteria
clinical Criteria
- ACTH-secreting pituitary adenoma confirmed by imaging and lab tests.
Applicable To
- ACTH-secreting pituitary adenoma
Excludes
- Ectopic ACTH syndrome (E24.1)
Clinical Validation Requirements
- Elevated ACTH levels
- Pituitary lesion on MRI
- Failed dexamethasone suppression test
Code-Specific Risks
- Misclassification if ectopic source is not ruled out
Coding Notes
- Ensure ACTH-dependence is documented with pituitary findings.
E24.1 - Ectopic ACTH syndrome
Use when Cushing's is due to ectopic ACTH production from a tumor.
Applicable To
- ACTH production from non-pituitary tumors
Excludes
- Pituitary-dependent Cushing's disease (E24.0)
Clinical Validation Requirements
- High ACTH levels
- Tumor identified outside pituitary
- Biopsy confirmation of ectopic source
Coding Notes
Document ectopic source with imaging and biopsy results.
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 Hypercortisolism 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 incomplete treatment plans., Regulatory: Could result in coding audits., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Use phrases like 'due to Cushing's' in documentation., Ensure all related conditions are coded.
Impact
Reimbursement: May lead to claim denials., Compliance: Triggers audits due to lack of specificity., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Ensure full workup is documented before using unspecified codes.
Impact
High audit risk if E24.9 is used without documentation of workup.
Mitigation Strategy
Document all diagnostic steps and findings.
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 Hypercortisolism, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hypercortisolism
Use these documentation templates to ensure complete and accurate documentation for Hypercortisolism. These templates include all required elements for proper coding and billing.
Hypercortisolism due to pituitary adenoma
Specialty: EndocrinologyRequired Elements
- Symptoms timeline
- Lab values
- Imaging results
- Treatment responses
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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