E24Not billable, use a more specific code below

Cushing's syndrome

In Disorders of other endocrine glands (E20-E35), chapter 4: Endocrine, Nutritional and Metabolic Diseases

7 billable codes under E24: 6 are a CC; 1 map to HCC 51 (Addison's and Cushing's Diseases, Acromegaly, and Other Specified Endocrine Disorders).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.

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Instructional notes

Excludes1: not coded here, use a different code

  • congenital adrenal hyperplasia (E25.0)

Also applies, from Disorders of other endocrine glands (E20-E35)

These notes sit on E20-E35 and apply to every code under it, including E24.

Excludes1: not coded here, use a different code

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers diabetes mellitus coding, including type, insulin and drug use, pump malfunction and secondary diabetes, plus obesity and obesity class codes.

Read Section I.C.4 (page 39)

E24 MS-DRGs

As the principal diagnosis, all 7 billable codes under E24 group to MS-DRG 643, 644, or 645 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to E24

Notes on these codes point to E24.

  • E08 Code First: Cushing's syndrome (E24.-)
  • E22 Excludes1: Cushing's syndrome (E24.-)
  • E27.0 Excludes1: Cushing's syndrome (E24.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Cushing's Syndrome

Cushing's syndrome is a hormonal disorder. The cause is long-term exposure to too much cortisol, a hormone that your adrenal gland makes. Sometimes, taking synthetic hormone medicine to treat an inflammatory disease leads to Cushing's. Some kinds of tumors produce a hormone that can cause your body to make too much cortisol.

Read more about cushing's syndrome on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.