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ICD-10 Guide
ICD-10 CodesChapter 4: Endocrine, nutritional and metabolic diseasesE34

E34

Billable

Other endocrine disorders

Chapter 4:Endocrine, nutritional and metabolic diseases

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

Code Description

ICD-10 E34 is a billable code used to indicate a diagnosis of other endocrine disorders.

Key Diagnostic Point:

E34 encompasses a variety of endocrine disorders that do not fall under more specific categories. This includes conditions related to puberty disorders, such as precocious or delayed puberty, which can significantly affect growth and development. Polyglandular dysfunction syndromes, where multiple endocrine glands are affected, can lead to complex clinical presentations requiring careful evaluation and management. Thymus disorders, including thymic hyperplasia or hypoplasia, can impact immune function and are often associated with other endocrine abnormalities. Growth abnormalities, such as growth hormone deficiency or excess, can lead to significant health issues, including short stature or gigantism. Accurate diagnosis and management of these conditions require a multidisciplinary approach, often involving endocrinologists, pediatricians, and other specialists. The complexity of these disorders necessitates thorough documentation to ensure appropriate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variety of conditions included under the code
  • Need for detailed clinical documentation
  • Potential for overlapping symptoms with other endocrine disorders
  • Variability in treatment protocols

Audit Risk Factors

  • Inadequate documentation of specific endocrine disorders
  • Misclassification of conditions leading to incorrect coding
  • Failure to capture all relevant comorbidities
  • Lack of clarity in treatment plans

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed clinical notes including hormone levels, imaging studies, and treatment plans.

Common Clinical Scenarios

Management of patients with growth hormone deficiencies, thyroid disorders, and polyglandular syndromes.

Billing Considerations

Endocrinologists must ensure that all relevant lab results and clinical findings are documented to support the diagnosis.

Pediatrics

Documentation Requirements

Growth charts, developmental assessments, and family history.

Common Clinical Scenarios

Evaluation of delayed or precocious puberty in children.

Billing Considerations

Pediatricians should document growth patterns and any psychosocial impacts of endocrine disorders.

Coding Guidelines

Inclusion Criteria

Use E34 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the specific condition is documented clearly
  • Include any relevant lab results and clinical findings that support the diagnosis

Exclusion Criteria

Do NOT use E34 When
  • Exclude conditions that are specifically coded elsewhere

Related CPT Codes

83001CPT Code

Growth hormone test

Clinical Scenario

Used in the evaluation of growth abnormalities.

Documentation Requirements

Document the reason for the test and the patient's clinical history.

Specialty Considerations

Endocrinologists should ensure that all relevant clinical findings are included in the documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of endocrine disorders, improving the accuracy of diagnoses and treatment plans. E34 serves as a catch-all for various conditions, necessitating careful documentation to ensure appropriate coding.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of endocrine disorders, improving the accuracy of diagnoses and treatment plans. E34 serves as a catch-all for various conditions, necessitating careful documentation to ensure appropriate coding.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of endocrine disorders, improving the accuracy of diagnoses and treatment plans. E34 serves as a catch-all for various conditions, necessitating careful documentation to ensure appropriate coding.

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 conditions are included under E34?

E34 includes a variety of endocrine disorders that do not have specific codes, such as puberty disorders, polyglandular dysfunction, thymus disorders, and growth abnormalities.