Intraoperative complications of endocrine system
chapter 4: Endocrine, Nutritional and Metabolic Diseases
5 billable codes under E36: 4 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
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Instructional notes
Excludes2: not included here, code separately if applicable
- postprocedural endocrine and metabolic complications and disorders, not elsewhere classified (E89.-)
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.
- Diabetes mellitus (page 39)
- Obesity (page 42)
All codes under E36
E36 can't be used on a claim. Pick a billable code below; grey headings group them.
- E36.0Intraoperative hemorrhage and hematoma of an endocrine system organ or structure complicating a procedure
- E36.01Intraoperative hemorrhage and hematoma of an endocrine system organ or structure complicating an endocrine system procedure
- E36.02Intraoperative hemorrhage and hematoma of an endocrine system organ or structure complicating other procedure
- E36.1Accidental puncture and laceration of an endocrine system organ or structure during a procedure
- E36.11Accidental puncture and laceration of an endocrine system organ or structure during an endocrine system procedure
- E36.12Accidental puncture and laceration of an endocrine system organ or structure during other procedure
- E36.8Other intraoperative complications of endocrine system
E36 MS-DRGs
As the principal diagnosis, the billable codes under E36 group to MS-DRG 919, 920, 921, 791, or 793 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 919 Complications of Treatment with MCC (5 of 5 codes)
- DRG 920 Complications of Treatment with CC (5 of 5 codes)
- DRG 921 Complications of Treatment without CC/MCC (5 of 5 codes)
- DRG 791 Prematurity with Major Problems (2 of 5 codes)
- DRG 793 Full Term Neonate with Major Problems (2 of 5 codes)
Other codes that refer to E36
Notes on these codes point to E36.
- T80-T88 Excludes2: intraoperative and postprocedural complications of specified body systems (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95.6-, J95.7, K91.6-, L76.-, M96.-, N99.-)
- T81 Excludes2: intraoperative and postprocedural complications of specific body system (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95, K91.-, L76.-, M96.-, N99.-)
Code history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
