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ICD-10 Guide
ICD-10 CodesE23.6

E23.6

Billable

Other disorders of pituitary gland

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

Code Description

ICD-10 E23.6 is a billable code used to indicate a diagnosis of other disorders of pituitary gland.

Key Diagnostic Point:

E23.6 encompasses a variety of disorders affecting the pituitary gland, which is a crucial component of the endocrine system responsible for regulating various hormonal functions in the body. Conditions classified under this code may include pituitary adenomas, hypopituitarism, and other less common disorders that disrupt the normal secretion of hormones such as growth hormone, prolactin, and adrenocorticotropic hormone (ACTH). These disorders can lead to significant clinical manifestations, including growth abnormalities, metabolic dysfunction, and reproductive issues. Diagnosis typically involves a combination of clinical evaluation, imaging studies (such as MRI), and laboratory tests to assess hormone levels. Treatment options may vary from surgical intervention to hormone replacement therapy, depending on the specific disorder and its severity. Accurate coding is essential for proper reimbursement and to ensure that patients receive appropriate care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying conditions that can lead to the diagnosis
  • Need for comprehensive documentation of hormonal assays and imaging studies
  • Potential overlap with other endocrine disorders
  • Variability in clinical presentation and treatment approaches

Audit Risk Factors

  • Inadequate documentation of hormone levels and clinical symptoms
  • Failure to specify the type of pituitary disorder
  • Lack of imaging study results in the medical record
  • Misinterpretation of laboratory results leading to incorrect coding

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed hormone level assessments, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with symptoms of hormonal imbalance, such as fatigue, weight changes, or reproductive issues.

Billing Considerations

Endocrinologists must ensure comprehensive documentation of all hormonal assays and any imaging studies performed.

Neurosurgery

Documentation Requirements

Operative reports, pre-operative evaluations, and post-operative follow-up notes.

Common Clinical Scenarios

Patients undergoing surgical intervention for pituitary tumors or other structural abnormalities.

Billing Considerations

Neurosurgeons should document the rationale for surgery and any complications that arise.

Coding Guidelines

Inclusion Criteria

Use E23.6 When
  • According to ICD
  • 10 coding guidelines, E23
  • 6 should be used when the specific disorder of the pituitary gland does not fall under other defined categories
  • Coders must ensure that the documentation supports the diagnosis and that all relevant tests and evaluations are included

Exclusion Criteria

Do NOT use E23.6 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

88305CPT Code

Pathology examination of pituitary tissue

Clinical Scenario

Used when a pituitary tumor is biopsied.

Documentation Requirements

Pathology report and clinical notes detailing the reason for biopsy.

Specialty Considerations

Endocrinologists and pathologists must collaborate to ensure accurate coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of pituitary disorders, improving the accuracy of diagnoses and treatment plans. E23.6 provides a broader classification for various pituitary conditions, enhancing the ability to capture the complexity of these disorders.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of pituitary disorders, improving the accuracy of diagnoses and treatment plans. E23.6 provides a broader classification for various pituitary conditions, enhancing the ability to capture the complexity of these disorders.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of pituitary disorders, improving the accuracy of diagnoses and treatment plans. E23.6 provides a broader classification for various pituitary conditions, enhancing the ability to capture the complexity of these disorders.

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 E23.6?

E23.6 includes various disorders of the pituitary gland that do not fall under more specific categories, such as pituitary adenomas or hypopituitarism. This may encompass rare conditions affecting hormone secretion and pituitary function.