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ICD-10 Guide
ICD-10 CodesE27.8

E27.8

Billable

Other specified disorders of adrenal gland

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

Code Description

ICD-10 E27.8 is a billable code used to indicate a diagnosis of other specified disorders of adrenal gland.

Key Diagnostic Point:

E27.8 encompasses a variety of adrenal gland disorders that do not fall under more specific categories. These can include conditions such as adrenal hyperplasia, adrenal tumors, and other dysfunctions that lead to abnormal hormone production. The adrenal glands, located atop each kidney, are responsible for producing hormones like cortisol, aldosterone, and adrenaline, which regulate metabolism, blood pressure, and stress responses. Disorders of the adrenal gland can lead to significant hormonal imbalances, resulting in symptoms such as fatigue, weight changes, hypertension, and electrolyte disturbances. Accurate diagnosis often requires a combination of clinical evaluation, hormonal assays, imaging studies, and sometimes biopsy. Given the complexity of the endocrine system, these disorders may also intersect with conditions affecting the parathyroid and pituitary glands, necessitating a comprehensive approach to treatment and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying conditions
  • Overlap with other endocrine disorders
  • Need for detailed clinical documentation
  • Potential for multiple hormone assays

Audit Risk Factors

  • Insufficient documentation of clinical findings
  • Lack of specificity in diagnosis
  • Failure to document hormone levels or imaging results
  • Inconsistent coding with treatment provided

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with unexplained fatigue, weight gain/loss, or hypertension.

Billing Considerations

Ensure all relevant lab results and imaging studies are included in the documentation.

Internal Medicine

Documentation Requirements

Comprehensive patient history and physical examination findings.

Common Clinical Scenarios

Management of patients with suspected adrenal disorders and related comorbidities.

Billing Considerations

Document any referrals to endocrinology for further evaluation.

Coding Guidelines

Inclusion Criteria

Use E27.8 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • 8 should be used when the specific disorder of the adrenal gland is not classified elsewhere

Exclusion Criteria

Do NOT use E27.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

84403CPT Code

Cortisol, serum

Clinical Scenario

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

Documentation Requirements

Document the clinical rationale for testing and any relevant patient history.

Specialty Considerations

Endocrinologists should ensure comprehensive documentation of all hormone levels tested.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding adrenal disorders, enabling better tracking of disease prevalence and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding adrenal disorders, enabling better tracking of disease prevalence and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding adrenal disorders, enabling 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 types of conditions are included under E27.8?

E27.8 includes various adrenal disorders that are not classified elsewhere, such as adrenal tumors, hyperplasia, and other dysfunctions leading to hormonal imbalances.