ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
DiagnosesAdrenalectomy

Adrenalectomy

ICD-10 Coding for Adrenalectomy(E27.0, E27.2)

PRIMARY SPECIALTYUrology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Adrenalectomy?
Essential facts and insights about Adrenalectomy

Key Clinical Considerations:

  • Symptoms of adrenal insufficiency such as fatigue, weight loss, and hypotension.
  • Laboratory findings may include low serum cortisol levels and elevated ACTH levels.
  • Physical examination may reveal signs of hyperpigmentation or hypotension.
  • Imaging findings may include adrenal tumors or hyperplasia seen on CT or MRI.
  • Severity criteria may involve the degree of adrenal insufficiency or presence of adrenal tumors.

Clinical Information

Clinical Criteria & Documentation Requirements

  • Complete medical history including symptoms, duration, and impact on daily life.
  • Specific terminology such as 'adrenalectomy' and 'adrenal insufficiency' must be documented.
  • Examples include noting the size and characteristics of adrenal masses.
  • Medical necessity must be established through documentation of failed conservative management.
  • Quality measures may include tracking outcomes related to adrenalectomy procedures.

Coding Guidelines

Usage Guidelines & Examples

  • Use E27.0 for primary adrenal insufficiency and E27.2 for secondary adrenal insufficiency.
  • Do not use these codes for adrenal incidentalomas that do not require surgery.
  • Compare with E27.1 for other specified adrenal disorders.
  • Common errors include misclassifying adrenal incidentalomas as adrenal insufficiency.
  • In complex cases, ensure to document the underlying cause of adrenal insufficiency.

Code Exclusions

Important Exclusions

  • Excludes conditions like adrenal incidentaloma that do not require intervention.
  • Alternative codes for excluded conditions include E27.9 for unspecified adrenal disorders.
  • Conditions are excluded due to lack of surgical necessity or intervention.
  • Common mistakes include coding adrenal incidentalomas as adrenal insufficiency.
  • Related but distinct conditions include C74 for malignant neoplasms of the adrenal gland.

Related ICD-10 Codes

Primary Codes
E27.0
Adrenal crisis due to adrenal insufficiency
E27.2
Secondary adrenal insufficiency
Ancillary Codes
38589
Differential Codes
E24.3
E24.3
if ectopic ACTH production is confirmed as the cause of Cushing's syndrome.
E27.4
E27.4
if insufficiency is due to pituitary or hypothalamic dysfunction.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Urology

Specialty Applications

  • Conditions such as Addison's disease and adrenal tumors.
  • Patient populations include adults and children with adrenal disorders.
  • Clinical settings include inpatient surgical units and outpatient endocrinology clinics.
  • Specialty-specific applications in urology and endocrinology.
  • Used in treatment contexts involving surgical intervention for adrenal tumors.

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Template 1

Template: 'Patient diagnosed with adrenal insufficiency based on low cortisol levels.'

Template 2

Template: 'Clinical presentation consistent with adrenal crisis including hypotension.'

Template 3

Template: 'Diagnostic criteria met as evidenced by imaging showing adrenal mass.'

Template 4

Template: 'Treatment plan initiated for adrenal insufficiency with glucocorticoids.'

Template 5

Template: 'Follow-up care for adrenalectomy including monitoring cortisol levels.'

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What documentation is required for this diagnosis?

Documentation must include clinical findings, lab results, and treatment plans.

How does this differ from similar diagnoses?

Differentiation is based on the underlying cause of adrenal insufficiency.

What are common billing considerations?

Ensure medical necessity is clearly documented to optimize reimbursement.

What procedures are typically associated?

CPT codes for adrenalectomy include 60650 for unilateral and 60660 for bilateral.

Are there any quality reporting implications?

Quality measures may include tracking surgical outcomes and complications.