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v1.0.0
ICD-10 Guide
ICD-10 CodesE34.09

E34.09

Billable

Other carcinoid syndrome

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

Code Description

ICD-10 E34.09 is a billable code used to indicate a diagnosis of other carcinoid syndrome.

Key Diagnostic Point:

Carcinoid syndrome is a group of symptoms that occur in patients with carcinoid tumors, which are neuroendocrine tumors that typically arise in the gastrointestinal tract or lungs. These tumors can secrete various hormones, including serotonin, which leads to a range of clinical manifestations. Symptoms of carcinoid syndrome may include flushing, diarrhea, wheezing, and abdominal pain. In some cases, the syndrome can lead to significant hormonal imbalances, affecting growth and development, particularly in children and adolescents. This can result in puberty disorders, such as delayed or precocious puberty, and growth abnormalities due to the excess secretion of hormones. Additionally, carcinoid syndrome can be associated with polyglandular dysfunction, where multiple endocrine glands are affected, leading to further complications. Thymus disorders may also be observed in patients with carcinoid tumors, as the thymus plays a role in the immune response and can be influenced by neuroendocrine activity. Accurate diagnosis and management of carcinoid syndrome require a multidisciplinary approach, including endocrinology, oncology, and gastroenterology.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of symptoms that can overlap with other conditions
  • Need for comprehensive documentation of hormonal levels
  • Potential for multiple endocrine disorders complicating the diagnosis
  • Variability in tumor location and associated symptoms

Audit Risk Factors

  • Inadequate documentation of symptoms and hormonal levels
  • Failure to specify the type of carcinoid tumor
  • Misclassification of related endocrine disorders
  • Lack of clarity in the multidisciplinary treatment approach

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed hormonal assay results, growth charts, and puberty assessment.

Common Clinical Scenarios

Patients presenting with growth abnormalities or delayed puberty.

Billing Considerations

Ensure comprehensive documentation of endocrine evaluations and any associated disorders.

Oncology

Documentation Requirements

Pathology reports, imaging studies, and treatment plans.

Common Clinical Scenarios

Management of carcinoid tumors and associated syndromes.

Billing Considerations

Document tumor location, size, and any metastasis for accurate coding.

Coding Guidelines

Inclusion Criteria

Use E34.09 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the underlying condition and associated symptoms
  • Include any relevant lab results and clinical findings to support the diagnosis

Exclusion Criteria

Do NOT use E34.09 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

88305CPT Code

Pathology examination of carcinoid tumor

Clinical Scenario

Used when a biopsy of a suspected carcinoid tumor is performed.

Documentation Requirements

Pathology report detailing tumor characteristics.

Specialty Considerations

Ensure the pathology report is linked to the correct diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of carcinoid syndromes, improving the ability to capture the complexity of these conditions and their associated symptoms.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of carcinoid syndromes, improving the ability to capture the complexity of these conditions and their associated symptoms.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of carcinoid syndromes, improving the ability to capture the complexity of these conditions and their associated symptoms.

Resources

Clinical References

  • •
    American Cancer Society - Carcinoid Tumors

Coding & Billing References

  • •
    American Cancer Society - Carcinoid Tumors

Frequently Asked Questions

What are the common symptoms of carcinoid syndrome?

Common symptoms include flushing, diarrhea, wheezing, and abdominal pain, which can vary based on the tumor's location and hormone secretion.