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ICD-10 Guide
ICD-10 CodesE23.7

E23.7

Billable

Disorder of pituitary gland, unspecified

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

Code Description

ICD-10 E23.7 is a billable code used to indicate a diagnosis of disorder of pituitary gland, unspecified.

Key Diagnostic Point:

Disorders of the pituitary gland can manifest in various ways, affecting the secretion of hormones that regulate numerous bodily functions. The pituitary gland, often referred to as the 'master gland,' plays a crucial role in controlling other endocrine glands, including the thyroid, adrenal glands, and reproductive organs. An unspecified disorder may indicate a range of conditions, from pituitary adenomas to hypopituitarism, where there is a deficiency in one or more of the hormones produced by the pituitary. Symptoms can vary widely, including fatigue, weight changes, and reproductive issues, depending on which hormones are affected. Diagnosis typically involves hormonal assays, imaging studies like MRI, and clinical evaluations. Treatment may include hormone replacement therapy, surgical intervention, or medication to manage symptoms. Accurate coding is essential for proper treatment and reimbursement, as the unspecified nature of this code can lead to challenges in identifying the underlying condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in symptoms and clinical presentation
  • Need for comprehensive hormonal evaluation
  • Potential overlap with other endocrine disorders
  • Diagnostic ambiguity without specific tests

Audit Risk Factors

  • Insufficient documentation of symptoms
  • Lack of clear diagnostic testing results
  • Inconsistent clinical notes regarding treatment
  • Failure to specify the nature of the disorder

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed hormonal assay results, imaging studies, and clinical evaluations.

Common Clinical Scenarios

Patients presenting with fatigue, weight changes, or reproductive issues requiring hormonal assessment.

Billing Considerations

Ensure all relevant endocrine evaluations are documented to support the diagnosis.

Neurology

Documentation Requirements

Neurological assessments, imaging results, and any related neurological symptoms.

Common Clinical Scenarios

Patients with headaches or visual disturbances that may indicate pituitary dysfunction.

Billing Considerations

Document any neurological findings that may correlate with pituitary disorders.

Coding Guidelines

Inclusion Criteria

Use E23.7 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the specific disorder of the pituitary gland cannot be determined
  • Include all relevant clinical documentation to support the use of this code

Exclusion Criteria

Do NOT use E23.7 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

83001CPT Code

Hormone level test

Clinical Scenario

Used to evaluate hormone levels in patients suspected of having pituitary disorders.

Documentation Requirements

Document the specific hormones tested and the clinical rationale for testing.

Specialty Considerations

Endocrinologists should ensure comprehensive hormonal panels are ordered.

70553CPT Code

MRI of the pituitary gland

Clinical Scenario

Ordered when there are symptoms suggestive of pituitary dysfunction.

Documentation Requirements

Document indications for MRI and any prior imaging results.

Specialty Considerations

Neurologists should correlate MRI findings with clinical symptoms.

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, but the use of unspecified codes like E23.7 can lead to increased scrutiny during audits.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of pituitary disorders, but the use of unspecified codes like E23.7 can lead to increased scrutiny during audits.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of pituitary disorders, but the use of unspecified codes like E23.7 can lead to increased scrutiny during audits.

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

When should I use E23.7?

Use E23.7 when a patient presents with symptoms of a pituitary disorder, but specific diagnostic tests do not confirm a particular condition.

What documentation is needed to support the use of E23.7?

Documentation should include clinical evaluations, hormonal assay results, and any imaging studies that support the diagnosis of an unspecified pituitary disorder.