ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 E24.8

Billable / Specific HCC v28: 23 CC

Other Cushing's syndrome

E24
Block
0
Synonyms
143
LCDs
11
Payer Policies
13
Linked CPTs

About ICD-10-CM E24.8

ICD-10-CM code E24.8 represents Other Cushing's syndrome. This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E24). The 2026 edition of ICD-10-CM E24.8 became effective on October 1, 2025.

Coding Tips for E24.8

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

E24.8 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.

Inpatient DRG impact: CC

E24.8 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.

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 23
ESRD-HCC
Category 23
RxHCC (Part D)
Category 23

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 Other Cushing's syndrome. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for E24.8

Local Coverage Determinations (LCDs) from CMS MACs that list E24.8 as a covered diagnosis.

143 LCDs

Showing top 10 of 143 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →
CMS LCD: Billing and Coding: Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF)
Article ID: 57630, Effective: 2024-08-01 00:00:00, 91 covered, 0 non-covered
CPT 22513 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing E24.8.

11 policies

1 Cigna

Vitamin D Testing - (0526) ---- future effective policy
Policy ID: MM_0526

5 Medicare

Billing and Coding: Bariatric Surgery for Treatment of Co-Morbidities Conditions Related to Morbid Obesity
Policy ID: ART-54923
Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: CT of the Head
Policy ID: ART-56612
Billing and Coding: Bone Mass Measurement
Policy ID: ART-57132
Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204

CPT Codes Commonly Billed with E24.8

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

13 linkages
  • 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 E24.8 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
E24.8 2550 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 E24.8, Billing FAQ

Is ICD-10 code E24.8 billable? +

Yes, E24.8 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Does E24.8 affect Medicare Advantage HCC risk adjustment? +

Yes. E24.8 maps to CMS-HCC v28 category 23. Capture this diagnosis annually for accurate Medicare Advantage risk score.

Is E24.8 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 E24.8? +

Procedures frequently paired with E24.8 include: 77081, 0556T, 78350, 0554T, 77085.

What ICD-9 codes does E24.8 map to? +

Per CMS GEMs, E24.8 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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