E89.6
BillablePostprocedural adrenocortical (-medullary) hypofunction
HCC Category Mapping
V24HCC 23 — Other Significant Endocrine and Metabolic Disorders
0.230ESRDHCC 23 — Other Significant Endocrine and Metabolic Disorders
0.000RxHCCHCC 43 — Other Significant Endocrine and Metabolic Disorders
0.000What This Code Means
Decreased production of adrenal hormones that develops after a surgical procedure or medical treatment affecting the adrenal glands.
Coding Tips
- •Specify whether the deficiency affects cortisol (adrenocortical) or epinephrine/norepinephrine (medullary) production
- •Document the procedure that caused the adrenal dysfunction
Clinical Significance
Postprocedural adrenal hypofunction occurs following bilateral adrenalectomy or damage to the adrenal glands during surgery. It results in adrenal insufficiency requiring lifelong glucocorticoid and mineralocorticoid replacement. This is a potentially life-threatening condition if replacement therapy is interrupted, particularly during physiologic stress.
Documentation Requirements
- ✓Diagnosis of adrenal hypofunction attributed to a prior surgical procedure
- ✓Type of procedure causing the condition (bilateral adrenalectomy, unilateral adrenalectomy with contralateral insufficiency)
- ✓Current cortisol and ACTH levels confirming adrenal insufficiency
- ✓Replacement therapy regimen (hydrocortisone, fludrocortisone dosing)
- ✓Stress dose steroid plan documented
- ✓Medical alert identification recommended
- ✓Original indication for adrenal surgery
Commonly Confused Codes
E27.1 — Primary adrenocortical insufficiency (Addison disease): autoimmune or other non-surgical causeE27.40 — Unspecified adrenocortical insufficiency: use only when cause is unknownE89.3 — Postprocedural hypopituitarism: secondary adrenal insufficiency from pituitary damage, not primary adrenalE27.3 — Drug-induced adrenocortical insufficiency: from chronic steroid use, not surgery
Code Hierarchy
└E89Postprocedural endocrine and metabolic complications and disorders, not elsewhere classified└E89.6Postprocedural adrenocortical (-medullary) hypofunction
└E89.6Postprocedural adrenocortical (-medullary) hypofunction