ICD-10 Coding for Hyperaldosteronism(E26.0, E26.1)
Complete ICD-10-CM coding and documentation guide for Hyperaldosteronism. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hyperaldosteronism
E26.0-E26.9Primary Range
Hyperaldosteronism
This range covers all forms of hyperaldosteronism, including primary and secondary types.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E26.0 | Primary hyperaldosteronism | Use when autonomous aldosterone secretion is confirmed. |
|
| E26.1 | Secondary hyperaldosteronism | Use when aldosterone excess is due to another condition. |
|
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 primary hyperaldosteronism
Essential facts and insights about Hyperaldosteronism
Primary ICD-10-CM Codes for hyperaldosteronism
Decision Criteria
clinical Criteria
- Confirmed by saline suppression test or adrenal vein sampling
Applicable To
- Conn's syndrome
Excludes
- Secondary hyperaldosteronism (E26.1)
Clinical Validation Requirements
- Aldosterone-to-renin ratio >30
- PAC ≥15 ng/dL
- Confirmed by adrenal vein sampling or saline suppression test
Code-Specific Risks
- Incorrectly coding as secondary without confirmatory tests
Coding Notes
- Ensure confirmatory testing is documented.
E26.1 - Secondary hyperaldosteronism
Use when aldosterone excess is due to another condition.
Applicable To
- Hyperaldosteronism due to heart failure, cirrhosis, nephrotic syndrome
Excludes
- Primary hyperaldosteronism (E26.0)
Clinical Validation Requirements
- Elevated renin levels
- Documented link to underlying condition
Coding Notes
Ensure linkage to the primary condition is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Heart failure
I50.xxDocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hyperaldosteronism to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E26.0.
Impact
Clinical: Leads to inadequate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential revenue loss due to claim denials.
Mitigation Strategy
Complete diagnostic workup before coding., Query providers for specificity.
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Poor data quality affecting clinical decisions.
Mitigation Strategy
Ensure confirmatory tests and linkage to underlying conditions are documented.
Impact
Coding E26.0 without documented confirmatory tests can trigger audits.
Mitigation Strategy
Ensure all confirmatory tests are documented in the patient's record.
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 Hyperaldosteronism, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hyperaldosteronism
Use these documentation templates to ensure complete and accurate documentation for Hyperaldosteronism. These templates include all required elements for proper coding and billing.
Resistant hypertension with suspected primary hyperaldosteronism
Specialty: EndocrinologyRequired Elements
- Patient history
- Lab results
- Imaging findings
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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