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

ICD-10 E27.9

Billable / Specific HCC v28: 23

Disorder of adrenal gland, unspecified

E27
Block
0
Synonyms
47
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM E27.9

ICD-10-CM code E27.9 represents Disorder of adrenal gland, unspecified. This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E27). The 2026 edition of ICD-10-CM E27.9 became effective on October 1, 2025.

Coding Tips for E27.9

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

HCC capture: document with MEAT each year

E27.9 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.

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.

Medicare LCD Coverage for E27.9

Local Coverage Determinations (LCDs) from CMS MACs that list E27.9 as a covered diagnosis.

47 LCDs

Showing top 10 of 47 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 01860 →
CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 00400 →
CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 01782 →
CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 01680 →
CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 01916 →
CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 01730 →
CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 01992 →
CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 01939 →
CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 00322 →
CMS LCD: Billing and Coding: Monitored Anesthesia Care
Article ID: 57361, Effective: 2026-01-01 00:00:00, 2006 covered, 0 non-covered
CPT 01999 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing E27.9.

1 policies

1 Medicare

Billing and Coding: Monitored Anesthesia Care
Policy ID: ART-57361

CPT Codes Commonly Billed with E27.9

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

No procedure linkages on file for E27.9

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert E27.9 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
E27.9 2559 00000

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

ICD-10 E27.9, Billing FAQ

Is ICD-10 code E27.9 billable? +

Yes, E27.9 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Does E27.9 affect Medicare Advantage HCC risk adjustment? +

Yes. E27.9 maps to CMS-HCC v28 category 23. Capture this diagnosis annually for accurate Medicare Advantage risk score.

What ICD-9 codes does E27.9 map to? +

Per CMS GEMs, E27.9 maps to ICD-9 codes: 2559. 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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