Primary adrenocortical insufficiency
ICD-10 E27.1 is a billable code used to indicate a diagnosis of primary adrenocortical insufficiency.
Primary adrenocortical insufficiency, also known as Addison's disease, is a disorder characterized by the inadequate production of adrenal hormones, particularly cortisol and aldosterone, due to damage to the adrenal cortex. This condition can arise from autoimmune destruction of the adrenal glands, infections, or other factors leading to adrenal gland dysfunction. Patients may present with symptoms such as fatigue, weight loss, low blood pressure, hyperpigmentation of the skin, and electrolyte imbalances. The condition can also lead to secondary effects on other endocrine glands, including the pituitary gland, which may increase adrenocorticotropic hormone (ACTH) levels in response to low cortisol. Diagnosis typically involves hormonal assays, imaging studies, and sometimes stimulation tests to assess adrenal function. Management includes hormone replacement therapy to restore normal hormone levels and address symptoms. Regular monitoring is essential to adjust treatment and prevent adrenal crises, which can be life-threatening.
Detailed hormone level assessments, imaging studies, and patient history.
Patients presenting with fatigue, weight loss, and hypotension; patients with known autoimmune disorders.
Ensure documentation reflects the cause of adrenal insufficiency and any associated conditions.
Comprehensive patient history, physical examination findings, and lab results.
Patients with unexplained fatigue or hypotension; patients with electrolyte imbalances.
Documenting the clinical rationale for testing and treatment adjustments is crucial.
Used to confirm diagnosis of adrenal insufficiency.
Document the reason for testing and results.
Endocrinologists should ensure comprehensive lab panels are ordered.
Common symptoms include fatigue, weight loss, low blood pressure, hyperpigmentation, and electrolyte imbalances.
Diagnosis typically involves hormonal assays, imaging studies, and sometimes stimulation tests to assess adrenal function.
Treatment involves lifelong hormone replacement therapy to restore normal hormone levels and manage symptoms.
