Other adrenocortical insufficiency
ICD-10 E27.49 is a billable code used to indicate a diagnosis of other adrenocortical insufficiency.
Other adrenocortical insufficiency refers to a condition characterized by inadequate production of adrenal hormones, particularly cortisol, due to dysfunction of the adrenal glands. This insufficiency can arise from various etiologies, including autoimmune disorders, infections, or genetic conditions affecting the adrenal cortex. Unlike primary adrenal insufficiency (Addison's disease), which is specifically due to adrenal gland failure, this code encompasses cases where the adrenal insufficiency is secondary to other underlying conditions, such as pituitary disorders that affect adrenocorticotropic hormone (ACTH) production. Symptoms may include fatigue, weight loss, low blood pressure, and electrolyte imbalances. Diagnosis typically involves hormonal assays, imaging studies, and sometimes stimulation tests to assess adrenal function. Treatment often requires hormone replacement therapy and management of the underlying cause. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.
Detailed hormonal assay results, imaging studies, and clinical history of adrenal insufficiency.
Patients presenting with fatigue, weight loss, and hypotension requiring evaluation for adrenal insufficiency.
Ensure comprehensive documentation of all hormonal evaluations and any associated pituitary dysfunction.
Thorough patient history, physical examination findings, and lab results indicating adrenal function.
Patients with unexplained fatigue and electrolyte imbalances needing further endocrine evaluation.
Document any referrals to endocrinology for specialized testing and management.
Used to confirm diagnosis of adrenal insufficiency.
Document the reason for testing and any relevant clinical findings.
Endocrinologists should ensure comprehensive hormonal evaluations are documented.
E27.49 is used for other forms of adrenocortical insufficiency that are not classified as primary adrenal insufficiency (Addison's disease), which is coded as E27.1. Accurate documentation is essential to differentiate between these conditions.
