ICD-10 Coding for Addison's Disease(E27.1, E27.2)
Complete ICD-10-CM coding and documentation guide for Addison's Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Addison's Disease
E27.1-E27.9Primary Range
Other disorders of adrenal gland
This range includes codes for various adrenal gland disorders, with E27.1 specifically for Addison's disease.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E27.1 | Primary adrenocortical insufficiency | Use when there is confirmed primary adrenal insufficiency with supporting lab results. |
|
| E27.2 | Addisonian crisis | Use during acute adrenal crisis episodes. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for Addison's disease
Essential facts and insights about Addison's Disease
Primary ICD-10-CM Codes for addison's disease
Decision Criteria
clinical Criteria
- Confirmed low cortisol and high ACTH levels.
documentation Criteria
- Documentation must specify 'primary' adrenal insufficiency.
Applicable To
- Addison's disease
Clinical Validation Requirements
- Morning cortisol <3 mcg/dL
- ACTH >100 pg/mL
- Positive 21-hydroxylase antibodies
Code-Specific Risks
- Misclassification if type of adrenal insufficiency is not specified.
Coding Notes
- Ensure documentation specifies 'primary' adrenal insufficiency to avoid unspecified coding.
E27.2 - Addisonian crisis
Use during acute adrenal crisis episodes.
Clinical Validation Requirements
- SBP <90 mmHg
- Hypoglycemia
- Vomiting
Coding Notes
Ensure crisis symptoms are documented to support this code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Addisonian crisis
E27.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Addison's Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E27.1.
Impact
Clinical: Misleading clinical data., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Educate providers on documentation requirements.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use A18.7 for tuberculous adrenalitis and E27.1 for primary insufficiency.
Impact
Failure to sequence E27.2 as primary during crisis.
Mitigation Strategy
Educate coders on proper sequencing rules.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Addison's Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Addison's Disease
Use these documentation templates to ensure complete and accurate documentation for Addison's Disease. These templates include all required elements for proper coding and billing.
Chronic management of Addison's disease
Specialty: EndocrinologyRequired Elements
- Morning cortisol levels
- ACTH levels
- Symptom documentation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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