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ICD-10 Guide
ICD-10 CodesE26.9

E26.9

Billable

Hyperaldosteronism, unspecified

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

Code Description

ICD-10 E26.9 is a billable code used to indicate a diagnosis of hyperaldosteronism, unspecified.

Key Diagnostic Point:

Hyperaldosteronism is a condition characterized by excessive production of aldosterone, a hormone produced by the adrenal glands that regulates sodium and potassium levels, as well as blood pressure. This condition can lead to hypertension, hypokalemia, and metabolic alkalosis. The unspecified designation indicates that the specific cause of hyperaldosteronism has not been determined, which may include primary causes such as adrenal adenoma or hyperplasia, or secondary causes related to conditions like heart failure or renal artery stenosis. Patients may present with symptoms such as muscle weakness, fatigue, and increased thirst. Diagnosis typically involves measuring plasma aldosterone levels, plasma renin activity, and conducting imaging studies of the adrenal glands. Treatment options may include mineralocorticoid receptor antagonists, surgical intervention, or management of underlying conditions. Accurate coding is essential for proper treatment and reimbursement, as well as for tracking the prevalence and outcomes of this endocrine disorder.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes (primary vs. secondary)
  • Need for comprehensive documentation of symptoms and lab results
  • Differentiation from other adrenal disorders
  • Potential for co-morbid conditions affecting treatment

Audit Risk Factors

  • Inadequate documentation of lab results
  • Failure to specify the underlying cause of hyperaldosteronism
  • Misclassification with other endocrine disorders
  • Inconsistent coding practices among providers

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed patient history, lab results, imaging studies, and treatment plans must be documented.

Common Clinical Scenarios

Patients presenting with hypertension and hypokalemia, or those with adrenal masses.

Billing Considerations

Endocrinologists should ensure that all relevant lab values and imaging results are included in the documentation to support the diagnosis.

Nephrology

Documentation Requirements

Documentation of renal function tests and any related renal conditions that may contribute to secondary hyperaldosteronism.

Common Clinical Scenarios

Patients with renal artery stenosis presenting with hypertension.

Billing Considerations

Nephrologists should document the relationship between renal function and aldosterone levels to clarify the diagnosis.

Coding Guidelines

Inclusion Criteria

Use E26.9 When
  • Follow the official ICD
  • CM coding guidelines for endocrine disorders
  • Ensure that the diagnosis is supported by clinical documentation, including lab results and imaging studies

Exclusion Criteria

Do NOT use E26.9 When
  • Exclude conditions that may lead to similar symptoms but are not classified as hyperaldosteronism

Related ICD-10 Codes

Related CPT Codes

84144CPT Code

Aldosterone level test

Clinical Scenario

Used to confirm diagnosis of hyperaldosteronism.

Documentation Requirements

Document the reason for the test and the results.

Specialty Considerations

Endocrinologists should ensure that the test is performed under appropriate conditions to avoid false results.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hyperaldosteronism, improving the ability to track and manage this condition. The introduction of codes for primary and secondary causes enhances the accuracy of clinical data.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hyperaldosteronism, improving the ability to track and manage this condition. The introduction of codes for primary and secondary causes enhances the accuracy of clinical data.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of hyperaldosteronism, improving the ability to track and manage this condition. The introduction of codes for primary and secondary causes enhances the accuracy of clinical data.

Resources

Clinical References

  • •
    American Association of Clinical Endocrinologists

Coding & Billing References

  • •
    American Association of Clinical Endocrinologists

Frequently Asked Questions

What is the difference between primary and secondary hyperaldosteronism?

Primary hyperaldosteronism is caused by adrenal gland disorders, such as adenomas or hyperplasia, while secondary hyperaldosteronism is due to external factors like renal artery stenosis or heart failure affecting aldosterone production.