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

ICD-10 E34.3

Non-Billable Header

Short stature due to endocrine disorder

E34
Block
0
Synonyms
0
LCDs
0
Payer Policies
0
Linked CPTs

About ICD-10-CM E34.3

ICD-10-CM code E34.3 represents Short stature due to endocrine disorder. This is a non-billable header code in the Endocrine, Nutritional, and Metabolic chapter (block E34). The 2026 edition of ICD-10-CM E34.3 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.

Type 1 Excludes

Pure excludes, these codes can never be coded together with E34.3. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • achondroplastic short stature (Q77.4)
  • hypochondroplastic short stature (Q77.4)
  • nutritional short stature (E45)
  • pituitary short stature (E23.0)
  • progeria (E34.8)
  • renal short stature (N25.0)
  • Russell-Silver syndrome (Q87.19)
  • short-limbed stature with immunodeficiency (D82.2)
  • short stature (child) (R62.52)
  • short stature in specific dysmorphic syndromes - code to syndrome - see Alphabetical Index
  • short stature NOS (R62.52)

Medicare LCD Coverage for E34.3

Local Coverage Determinations (LCDs) from CMS MACs that list E34.3 as a covered diagnosis.

No Medicare LCDs reference E34.3 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing E34.3.

No commercial payer policies reference E34.3 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but E34.3 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with E34.3

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

No procedure linkages on file for E34.3

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 E34.3 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
E34.3 2594 00000

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

ICD-10 E34.3, Billing FAQ

Is ICD-10 code E34.3 billable? +

No, E34.3 is a non-billable header code. Use a more specific child code from block E34 when submitting claims.

What codes are Type 1 Excludes for E34.3? +

Type 1 Excludes (never code together with E34.3): achondroplastic short stature (Q77.4); hypochondroplastic short stature (Q77.4); nutritional short stature (E45)

What ICD-9 codes does E34.3 map to? +

Per CMS GEMs, E34.3 maps to ICD-9 codes: 2594. 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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