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ICD-10 Guide
ICD-10 CodesChapter 4: Endocrine, nutritional and metabolic diseasesE27

E27

Billable

Other disorders of adrenal gland

Chapter 4:Endocrine, nutritional and metabolic diseases

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

Code Description

ICD-10 E27 is a billable code used to indicate a diagnosis of other disorders of adrenal gland.

Key Diagnostic Point:

Disorders of the adrenal gland encompass a variety of conditions that affect the production of hormones critical for bodily functions. The adrenal glands, located atop each kidney, produce hormones such as cortisol, aldosterone, and adrenaline, which regulate metabolism, blood pressure, and stress responses. Conditions classified under E27 include adrenal insufficiency, adrenal hyperplasia, and adrenal tumors, which can lead to hormone imbalances. For instance, adrenal insufficiency may result in low cortisol levels, causing fatigue, weight loss, and low blood pressure. Conversely, adrenal tumors can lead to excess hormone production, resulting in conditions like Cushing's syndrome or Conn's syndrome. Accurate diagnosis often requires a combination of clinical evaluation, biochemical tests, and imaging studies. The complexity of these disorders lies in their varied presentations and the need for comprehensive hormonal assessments to guide treatment. Understanding the interplay between adrenal function and other endocrine glands, such as the pituitary and parathyroid glands, is crucial for effective management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying conditions leading to adrenal dysfunction
  • Need for comprehensive hormonal assessment
  • Potential overlap with other endocrine disorders
  • Variability in clinical presentation

Audit Risk Factors

  • Inadequate documentation of hormone levels
  • Failure to specify the type of adrenal disorder
  • Misclassification of related endocrine disorders
  • Lack of supporting clinical evidence for diagnosis

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Thorough documentation of hormone levels, imaging studies, and clinical symptoms.

Common Clinical Scenarios

Patients presenting with fatigue, weight changes, or abnormal lab results indicating adrenal dysfunction.

Billing Considerations

Endocrinologists must ensure that all relevant hormonal assays are documented to support the diagnosis.

Internal Medicine

Documentation Requirements

Detailed patient history and physical examination findings related to adrenal function.

Common Clinical Scenarios

Patients with unexplained hypotension or electrolyte imbalances.

Billing Considerations

Internal medicine practitioners should be aware of the potential for adrenal crises in patients with adrenal insufficiency.

Coding Guidelines

Inclusion Criteria

Use E27 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the specific adrenal disorder
  • Include relevant lab results and clinical findings to support the diagnosis

Exclusion Criteria

Do NOT use E27 When
  • Exclude conditions that are specifically classified under other codes

Related CPT Codes

84436CPT Code

Cortisol, serum

Clinical Scenario

Used to evaluate adrenal function in patients suspected of adrenal disorders.

Documentation Requirements

Document the reason for testing and any relevant clinical findings.

Specialty Considerations

Endocrinologists should ensure that cortisol levels are interpreted in the context of other hormonal assays.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of adrenal disorders, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of disease prevalence and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of adrenal disorders, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of disease prevalence and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of adrenal disorders, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of disease prevalence and treatment outcomes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common symptoms of adrenal disorders?

Common symptoms include fatigue, weight changes, blood pressure fluctuations, and electrolyte imbalances. Specific symptoms may vary depending on the type of adrenal disorder.