Postprocedural endocrine and metabolic complications and disorders, not elsewhere classified
chapter 4: Endocrine, Nutritional and Metabolic Diseases
17 billable codes under E89: 11 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
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 E89
E89 can't be used on a claim. Pick a billable code below; grey headings group them.
- E89.0Postprocedural hypothyroidism
- E89.1Postprocedural hypoinsulinemia
- E89.2Postprocedural hypoparathyroidism
- E89.3Postprocedural hypopituitarism
- E89.4Postprocedural ovarian failure
- E89.40Asymptomatic postprocedural ovarian failure
- E89.41Symptomatic postprocedural ovarian failure
- E89.5Postprocedural testicular hypofunction
- E89.6Postprocedural adrenocortical (-medullary) hypofunction
- E89.8Other postprocedural endocrine and metabolic complications and disorders
- E89.81Postprocedural hemorrhage of an endocrine system organ or structure following a procedure
- E89.810Postprocedural hemorrhage of an endocrine system organ or structure following an endocrine system procedure
- E89.811Postprocedural hemorrhage of an endocrine system organ or structure following other procedure
- E89.82Postprocedural hematoma and seroma of an endocrine system organ or structure
- E89.820Postprocedural hematoma of an endocrine system organ or structure following an endocrine system procedure
- E89.821Postprocedural hematoma of an endocrine system organ or structure following other procedure
- E89.822Postprocedural seroma of an endocrine system organ or structure following an endocrine system procedure
- E89.823Postprocedural seroma of an endocrine system organ or structure following other procedure
- E89.83Postprocedural hypoglycemia following a procedure
- E89.830Post bariatric hypoglycemia
- E89.838Other postprocedural hypoglycemia
- E89.89Other postprocedural endocrine and metabolic complications and disorders
E89 MS-DRGs
As the principal diagnosis, the billable codes under E89 group to these 14 MS-DRGs (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 (9 of 17 codes)
- DRG 920 Complications of Treatment with CC (9 of 17 codes)
- DRG 921 Complications of Treatment without CC/MCC (9 of 17 codes)
- DRG 643 Endocrine Disorders with MCC (5 of 17 codes)
- DRG 644 Endocrine Disorders with CC (5 of 17 codes)
- DRG 645 Endocrine Disorders without CC/MCC (5 of 17 codes)
- DRG 742 Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC (2 of 17 codes)
- DRG 743 Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC (2 of 17 codes)
- DRG 760 Menstrual and Other Female Reproductive System Disorders with CC/MCC (2 of 17 codes)
- DRG 761 Menstrual and Other Female Reproductive System Disorders without CC/MCC (2 of 17 codes)
- DRG 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (1 of 17 codes)
- DRG 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC (1 of 17 codes)
- DRG 791 Prematurity with Major Problems (1 of 17 codes)
- DRG 793 Full Term Neonate with Major Problems (1 of 17 codes)
Other codes that refer to E89
Notes on these codes point to E89.
- E36 Excludes2: postprocedural endocrine and metabolic complications and disorders, not elsewhere classified (E89.-)
- O99.2 Includes: Conditions in E00-E89
- 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.-)
- Z90 Excludes2: postprocedural absence of endocrine glands (E89.-)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Endocrine Diseases
Your endocrine system includes eight major glands throughout your body. These glands make hormones. Hormones are chemical messengers. They travel through your bloodstream to tissues or organs. Hormones work slowly and affect body processes from head to toe. These include:
Read more about endocrine diseases on MedlinePlusMetabolic Disorders
Metabolism is the process your body uses to get or make energy from the food you eat. Food is made up of proteins, carbohydrates, and fats. Chemicals in your digestive system break the food parts down into sugars and acids, your body's fuel. Your body can use this fuel right away, or it can store the energy in your body tissues, such as your liver, muscles, and body fat.
Read more about metabolic disorders on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
