ICD-10 E24.0
Billable / Specific HCC v28: 23 CCPituitary-dependent Cushing's disease
About ICD-10-CM E24.0
ICD-10-CM code E24.0 represents Pituitary-dependent Cushing's disease. This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E24). The 2026 edition of ICD-10-CM E24.0 became effective on October 1, 2025.
Coding Tips for E24.0
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
E24.0 is a CMS-HCC v28 risk-adjustment code (category 23). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.
E24.0 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under E24.0. Per CMS ICD-10-CM Tabular 2026.
- Overproduction of pituitary ACTH
- Pituitary-dependent hypercorticalism
Medicare Advantage HCC Impact
Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.
Inpatient DRG Impact, CC
codes Pituitary-dependent Cushing's disease. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.
Medicare LCD Coverage for E24.0
Local Coverage Determinations (LCDs) from CMS MACs that list E24.0 as a covered diagnosis.
Showing top 10 of 143 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing E24.0.
1 Cigna
5 Medicare
2 Aetna
CPT Codes Commonly Billed with E24.0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 77081 CMS LCD: Billing and Coding: Bone Mass Measurement CMS LCD
- 0556T CMS LCD: Billing and Coding: Bone Mass Measurement CMS LCD
- 78350 CMS LCD: Billing and Coding: Bone Mass Measurement CMS LCD
- 0554T CMS LCD: Billing and Coding: Bone Mass Measurement CMS LCD
- 77085 CMS LCD: Billing and Coding: Bone Mass Measurement CMS LCD
- 0558T CMS LCD: Billing and Coding: Bone Mass Measurement CMS LCD
- 0555T CMS LCD: Billing and Coding: Bone Mass Measurement CMS LCD
- 0557T CMS LCD: Billing and Coding: Bone Mass Measurement CMS LCD
- 77078 CMS LCD: Billing and Coding: Bone Mass Measurement CMS LCD
- 76977 CMS LCD: Billing and Coding: Bone Mass Measurement CMS LCD
Convert E24.0 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| E24.0 | 2550 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To E24.0
Other codes in section E20-E35 (Disorders of other endocrine glands).
ICD-10 E24.0, Billing FAQ
Is ICD-10 code E24.0 billable? +
Yes, E24.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to E24.0? +
ICD-10 E24.0 includes: Overproduction of pituitary ACTH; Pituitary-dependent hypercorticalism.
Does E24.0 affect Medicare Advantage HCC risk adjustment? +
Yes. E24.0 maps to CMS-HCC v28 category 23. Capture this diagnosis annually for accurate Medicare Advantage risk score.
Is E24.0 a CC or MCC for inpatient DRG? +
Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.
What CPT codes are commonly billed with E24.0? +
Procedures frequently paired with E24.0 include: 77081, 0556T, 78350, 0554T, 77085.
What ICD-9 codes does E24.0 map to? +
Per CMS GEMs, E24.0 maps to ICD-9 codes: 2550. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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