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ICD-10 Guide
ICD-10 CodesE24.8

E24.8

Billable

Other Cushing's syndrome

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 E24.8 is a billable code used to indicate a diagnosis of other cushing's syndrome.

Key Diagnostic Point:

Cushing's syndrome is a disorder characterized by excessive levels of cortisol in the blood, which can result from various causes, including adrenal tumors, pituitary adenomas, or ectopic ACTH production. Other Cushing's syndrome (E24.8) refers to cases that do not fit the classic presentations of Cushing's disease or adrenal Cushing's. This may include syndromes caused by adrenal hyperplasia, certain medications (such as glucocorticoids), or rare tumors that secrete cortisol. Clinically, patients may present with symptoms such as obesity, hypertension, diabetes mellitus, osteoporosis, and skin changes. Diagnosis typically involves biochemical testing to confirm hypercortisolism, imaging studies to identify tumors, and possibly suppression tests to differentiate the underlying cause. Management may involve surgical intervention, medication to control cortisol production, or lifestyle modifications to manage symptoms. Accurate diagnosis and coding are essential for appropriate treatment and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to the condition
  • Need for comprehensive documentation of symptoms and tests
  • Differentiation from other types of Cushing's syndrome
  • Potential for multiple co-existing endocrine disorders

Audit Risk Factors

  • Inadequate documentation of the underlying cause
  • Failure to document all relevant symptoms
  • Misclassification of the type of Cushing's syndrome
  • Lack of supporting lab results or imaging studies

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Thorough documentation of hormonal assays, imaging results, and clinical symptoms.

Common Clinical Scenarios

Patients presenting with obesity, hypertension, and glucose intolerance.

Billing Considerations

Endocrinologists must ensure that all laboratory tests are documented to support the diagnosis.

Internal Medicine

Documentation Requirements

Comprehensive patient history and physical examination findings, including metabolic syndrome components.

Common Clinical Scenarios

Patients with unexplained weight gain and metabolic abnormalities.

Billing Considerations

Internal medicine providers should document any referrals to endocrinology for further evaluation.

Coding Guidelines

Inclusion Criteria

Use E24.8 When
  • According to ICD
  • 10 guidelines, E24
  • 8 should be used when the specific type of Cushing's syndrome is not classified elsewhere
  • Coders must ensure that the diagnosis is supported by clinical documentation and laboratory findings

Exclusion Criteria

Do NOT use E24.8 When
  • Exclusion criteria include conditions that are specifically coded under other Cushing's syndrome codes

Related ICD-10 Codes

Related CPT Codes

83516CPT Code

Cortisol, serum

Clinical Scenario

Used to confirm hypercortisolism in suspected cases of Cushing's syndrome.

Documentation Requirements

Document the reason for the test and any relevant clinical findings.

Specialty Considerations

Endocrinologists should ensure that all lab results are included in the patient's record.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of Cushing's syndrome, enabling better tracking of the condition's various etiologies. E24.8 provides a distinct code for cases that do not fit the more common classifications, improving the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Cushing's syndrome, enabling better tracking of the condition's various etiologies. E24.8 provides a distinct code for cases that do not fit the more common classifications, improving the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of Cushing's syndrome, enabling better tracking of the condition's various etiologies. E24.8 provides a distinct code for cases that do not fit the more common classifications, improving the accuracy of patient records and treatment plans.

Resources

Clinical References

  • •
    Cushing's Syndrome Overview

Coding & Billing References

  • •
    Cushing's Syndrome Overview

Frequently Asked Questions

What are the common causes of Other Cushing's syndrome?

Other Cushing's syndrome can be caused by adrenal tumors, ectopic ACTH production, or long-term use of glucocorticoids. It is essential to identify the underlying cause for appropriate management.

How is Other Cushing's syndrome diagnosed?

Diagnosis typically involves biochemical tests to measure cortisol levels, imaging studies to identify tumors, and clinical evaluation of symptoms. A thorough assessment is crucial for accurate coding.