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E21 ICD-10-CM Code: Hyperparathyroidism and other disorders of parathyroid gland

ICD-10-CM Code View

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FY 2026 Apr update / Endocrine, nutritional and metabolic diseases (E00-E89) / Disorders of other endocrine glands (E20-E35)

E21

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Hyperparathyroidism and other disorders of parathyroid gland

Hyperparathyroidism and other disorders of parathyroid gland

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
E2Disorders of other endocrine glands (E20-E35)
E21Hyperparathyroidism and other disorders of parathyroid gland

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for E21 in this effective period.

Excludes 2

Official
  • familial hypocalciuric hypercalcemia (E83.52)

Related Child Codes

Official
E21.0Primary hyperparathyroidism
E21.1Secondary hyperparathyroidism, not elsewhere classified
E21.2Other hyperparathyroidism
E21.3Hyperparathyroidism, unspecified
E21.4Other specified disorders of parathyroid gland

Includes

Official

ICD-10-CM does not list Includes notes for E21 in this effective period.

Excludes 1

Official
  • adult osteomalacia (M83.-)
  • ectopic hyperparathyroidism (E34.2)
  • hungry bone syndrome (E83.81)
  • infantile and juvenile osteomalacia (E55.0)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for E21 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for E21 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for E21 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

E21 is the ICD-10-CM diagnosis code for hyperparathyroidism and other disorders of parathyroid gland. E21 sits in the ICD-10-CM chapter for endocrine, nutritional and metabolic diseases (e00-e89), within the section covering disorders of other endocrine glands (e20-e35).

Header codes like E21 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at E21's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for E21 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • adult osteomalacia (M83.-)
  • ectopic hyperparathyroidism (E34.2)
  • hungry bone syndrome (E83.81)
  • infantile and juvenile osteomalacia (E55.0)

Excludes 2, Not included here, may code separately

  • familial hypocalciuric hypercalcemia (E83.52)

Child Codes

Code Hierarchy

E21Hyperparathyroidism and other disorders of parathyroid gland
E21Hyperparathyroidism and other disorders of parathyroid gland

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