What is the ICD-10 code for primary adrenocortical insufficiency?

The ICD-10 code for primary adrenocortical insufficiency, commonly known as Addison's disease, is E27.1.

How is drug-induced adrenal insufficiency coded?

Drug-induced adrenal insufficiency is coded as E27.3, and should be paired with a T-code for the specific drug involved.

ICD-10 Coding for Adrenocortical Insufficiency(E27.1, E27.2, E27.3)

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Comprehensive guide to ICD-10 coding for adrenocortical insufficiency, including primary, secondary, and drug-induced types.

Also known as:

Addison's DiseaseAdrenal Insufficiency

Related ICD-10 Code Ranges

Complete code families applicable to Adrenocortical Insufficiency

E00-E89Primary Range

Endocrine, nutritional and metabolic diseases

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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 primary adrenal insufficiency is confirmed by lab tests and clinical presentation.	AM cortisol <3 mcg/dL ACTH >100 pg/mL Positive adrenal autoantibodies
E27.2	Addisonian crisis	Use during acute adrenal crisis with documented hypotension and electrolyte imbalance.	Hypotension unresponsive to fluids Hyponatremia Hypoglycemia
E27.3	Drug-induced adrenocortical insufficiency	Use when adrenal insufficiency is secondary to drug use, confirmed by testing.	ACTH stimulation test: peak cortisol <18 mcg/dL Documented drug use history

Primary ICD-10-CM Codes

Primary adrenocortical insufficiency

E27.1Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Other adrenocortical insufficiencyE27.49

Documentation & Coding Risks

Avoid these common issues when documenting Adrenocortical Insufficiency.

Failure to document drug history in drug-induced cases

Impact

Clinical: Mismanagement of patient treatment, Regulatory: Non-compliance with coding standards, Financial: Potential denial of claims

Mitigation

Always document specific drugs and duration, Use templates to ensure completeness

Coding 'adrenal insufficiency' without specifying type

Impact

Reimbursement: Incorrect DRG assignment may affect reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation

Query provider for specific type: primary, secondary, or drug-induced.

Documentation of crisis symptoms

Impact

Incomplete documentation of crisis symptoms can lead to audit issues.

Mitigation

Use standardized templates to ensure all symptoms are documented.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with E27.1.

Primary Code

E27.1

Primary adrenocortical insufficiency

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ICD-10 codes7

Coding risks3

FAQs2

ICD-10 Coding for Adrenocortical Insufficiency(E27.1, E27.2, E27.3)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for primary adrenocortical insufficiency?

How is drug-induced adrenal insufficiency coded?

Related condition guides