E27.49

Billable

Other adrenocortical insufficiency

HCC Category Mapping

V24HCC 23 — Other Significant Endocrine and Metabolic Disorders

0.230

ESRDHCC 23 — Other Significant Endocrine and Metabolic Disorders

0.000

RxHCCHCC 43 — Other Significant Endocrine and Metabolic Disorders

0.000

What This Code Means

Adrenal gland failure due to causes other than primary insufficiency, drug-induced, or unspecified types.

Coding Tips

•Document the specific etiology (e.g., infection, hemorrhage, infiltration) when coding this category
•Review medical record for any secondary causes of adrenal insufficiency

Clinical Significance

Other adrenocortical insufficiency captures specified forms of adrenal hormone deficiency not classified as primary (Addison disease), drug-induced, or unspecified. This includes secondary adrenal insufficiency from pituitary disease, adrenal hemorrhage (Waterhouse-Friderichsen syndrome), or infiltrative adrenal diseases.

Documentation Requirements

✓Document the specific etiology (pituitary disease, adrenal hemorrhage, infection, infiltration, bilateral adrenalectomy), cortisol and adrenocorticotropic hormone levels, aldosterone status, treatment regimen including stress dosing protocols, and underlying cause.

Commonly Confused Codes

E27.1 (primary adrenocortical insufficiency from autoimmune or other adrenal destruction), E27.3 (drug-induced), E27.40 (unspecified adrenocortical insufficiency), E89.6 (postprocedural adrenocortical insufficiency).

Code Hierarchy

└E27Other disorders of adrenal gland └E27.4Other and unspecified adrenocortical insufficiency └E27.49Other adrenocortical insufficiency

└E27.49Other adrenocortical insufficiency