Endocrinology

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Endocrinology

General Documentation Considerations

Diagnoses

ICD-9 to ICD-10 Crosswalk

The codes in these crosswalks were selected based on the most commonly used ICD-9 codes according to historical MedStar Health coding data and from professional coding associations, and are ordered by frequency of use. 

Not all the codes you need are contained in this list. For a comprehensive list of ICD-10 codes, use Diagnosis Assistant or the IMO Anywhere tool.

Code Description (ICD-9 codes are in blue)
250.02 Diabetes mellitus without mention of complication, type II or unspecified type, uncontrolled
E11.65 Type 2 diabetes mellitus with hyperglycemia
244.9 Unspecified acquired hypothyroidism

Documentation should note specific type of acquired hypothyroidism when known. Below are examples under ICD-10:
E01.2 Iodine-deficiency related (endemic) goiter, unspecified
E02 Subclinical iodine-deficiency hypothyroidism
E89.0
Postprocedural hypothyroidism
E03.3 Postinfectious hypothyroidism
E03.8
Other specified hypothyroidism
E03.2
Hypothyroidism due to medicaments and other exogenous substances
E06.3
Autoimmune thyroiditis
E03.4
Atrophy of thyroid (acquired)
250.00 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled

Document type 2 diabetes with or without complications and note if controlled or uncontrolled.
E11.9 Type 2 diabetes mellitus without complications
E13.9 Other specified diabetes mellitus without complications
268.9 Unspecified vitamin D deficiency

It is important to note if vitamin D deficiency is due to osteomalacia or rickets. ICD-10 options include:
E55.9 Vitamin D deficiency, unspecified
E55.0 Rickets, active
241.1 Nontoxic multinodular goiter

Matches under ICD-10 include:
E04.2 Nontoxic multinodular goiter
E01.1 Iodine-deficiency related multinodular (endemic) goiter
272.4 Other and unspecified hyperlipidemia
E78.2 Mixed hyperlipidemia
E78.3 Hyperchylomicronemia
E78.4
Other hyperlipidemia
E78.5
Hyperlipidemia, unspecified
401.9 Unspecified essential hypertension
I10 Essential (primary) hypertension
193 Malignant neoplasm of thyroid gland
C73 Malignant neoplasm of thyroid gland
244.0 Postsurgical hypothyroidism
E89.0 Postprocedural hypothyroidism
401.1 Benign essential hypertension

It is important to note any of the following that are applicable. Other disorders may accompany hyperextension. These disorders should be noted.
I15.1 Hypertension secondary to other renal disorders
I15.2 Hypertension secondary to endocrine disorders
I15
Secondary hypertension
O10 Pre-existing hypertension complicating pregnancy, childbirth and the puerperium
O11 Pre-existing hypertension with pre-eclampsia
I15.10
Renovascular hypertension
I15.19
Secondary hypertension, unspecified
I97.3
Postprocedural hypertension
K76.6 Portal hypertension
I10 Essential (primary) hypertension
241.0 Nontoxic uninodular goiter
E04.1 Nontoxic single thyroid nodule
733.00 Osteoporosis unspecified
M81.0 Age-related osteoporosis without current pathological fracture
250.03 Diabetes mellitus without mention of complication, type I [juvenile type], uncontrolled
E10.65 Type 1 diabetes mellitus with hyperglycemia
272.2 Mixed hyperlipidemia
E78.2 Mixed hyperlipidemia
242.90 Thyrotoxicosis without goiter or other cause and without thyrotoxic crisis or storm
E05.90 Thyrotoxicosis, unspecified without thyrotoxic crisis or storm
733.90 Disorder of bone and cartilage, unspecified

Note if disorder of bone, cartilage, or bone density and structure. Note site and laterality when possible.
A sample of codes bearing out more specificity are below.

M89.129 Physeal arrest, humerus, unspecified
M89.139 Physeal arrest, forearm, unspecified
M89.159
Physeal arrest, femur, unspecified
M89.169
Physeal arrest, lower leg, unspecified
M89.18
Physeal arrest, other site
M89.121
Complete physeal arrest, right proximal humerus
M89.122
Complete physeal arrest, left proximal humerus
M89.123
Partial physeal arrest, right proximal humerus
M89.124
Partial physeal arrest, left proximal humerus
M89.9
Disorder of bone, unspecified
M94.9
Disorder of cartilage, unspecified
M85.9
Disorder of bone density and structure, unspecified
272.0 Pure hypercholesterolemia
E78.0 Pure hypercholesterolemia
790.29 Other abnormal glucose

Note if other abnormal glucose or hyperglycemia. ICD-10 options include:
R73.9 Hyperglycemia, unspecified
R73.09 Other abnormal glucose
242.00 Toxic diffuse goiter without thyrotoxic crisis or storm
E05.00 Toxic diffuse goiter without thyrotoxic crisis or storm
244.1 Other postablative hypothyroidism
E89.0 Postprocedural hypothyroidism
250.01 Diabetes mellitus without mention of complication, type I [juvenile type], not stated as uncontrolled

Document type and if complications exist. ICD-10 options include:
E10.9 Type 1 diabetes mellitus without complications
226 Benign neoplasm of thyroid glands
D34 Benign neoplasm of thyroid gland
250.62 Diabetes with neurological manifestations

Under ICD-10, neurologic manifestations of Type 2 diabetes are now included with diabetes code. Neurological documentation should note presence of neuropathy, mononeuropathy, polyneuropathy, gastro paresis, or amyotrophy. Available diagnoses include the following:
E11.40 Type 2 diabetes mellitus with diabetic neuropathy, unspecified
E11.41 Type 2 diabetes mellitus with diabetic mononeuropathy
E11.42
Type 2 diabetes mellitus with diabetic polyneuropathy
E11.43
Type 2 diabetes mellitus with diabetic gastro paresis
E11.44
Type 2 diabetes mellitus with diabetic amyotrophy
E11.49
Type 2 diabetes mellitus with other diabetic neurological complication
257.2 Other testicular hypofunction
E29.1 Testicular hypofunction
250.42 Diabetes with renal manifestations, type II or unspecified type, uncontrolled
E11.21 Type 2 diabetes mellitus with diabetic nephropathy
E11.65 Type 2 diabetes mellitus with hyperglycemia
275.42 Hypercalcemia
E83.52 Hypercalcemia
227.3 Benign neoplasm of pituitary gland and craniopharyngeal duct
D35.2 Benign neoplasm of pituitary gland
D35.3 Benign neoplasm of craniopharyngeal duct
733.01 Senile osteoporosis
M81.0 Age-related osteoporosis without current pathological fracture
240.9 Goiter, unspecified
E40.9 Nontoxic goiter, unspecified
E01.2 Iodine-deficiency related (endemic) goiter, unspecified
E01.0 Iodine-deficiency related diffuse (endemic) goiter
252.01 Primary hyperparathyroidism
E21.0 Primary hyperparathyroidism
250.60 Diabetes with neurological manifestations, type II or unspecified type, not stated as uncontrolled
E11.40 Type 2 diabetes mellitus with diabetic neuropathy, unspecified
E11.41 Type 2 diabetes mellitus with diabetic mononeuropathy
E11.42
Type 2 diabetes mellitus with diabetic polyneuropathy
E11.43
Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy
E11.44
Type 2 diabetes mellitus with diabetic amyotrophy
E11.49
Type 2 diabetes mellitus with other diabetic neurological complication
E11.610
Type 2 diabetes mellitus with diabetic neuropathic arthropathy
E13.40
Other specified diabetes mellitus with diabetic neuropathy, unspecified
E13.41
Other specified diabetes mellitus with diabetic mononeuropathy
E13.42
Other specified diabetes mellitus with diabetic polyneuropathy
E13.43
Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy
E13.44
Other specified diabetes mellitus with diabetic amyotrophy
E13.49
Other specified diabetes mellitus with other diabetic neurological complication
E13.610
Other specified diabetes mellitus with diabetic neuropathic arthropathy
245.2 Chronic lymphocytic thyroiditis
E06.3 Autoimmune thyroiditis
794.5 Nonspecific abnormal results of function study of thyroid
R94.6 Abnormal results of thyroid function studies
250.52 Diabetes with ophthalmic manifestations, type II or unspecified type, uncontrolled
E11.311 Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema
E11.319 Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema
E11.36
Type 2 diabetes mellitus with diabetic cataract
E11.319
Type 2 diabetes mellitus with other diabetic ophthalmic complication
256.4 Polycystic ovaries
E28.2 Polycystic ovaries
278.00 Obesity unspecified

Note if obesity is due to excess calories, drug-induced, or other. ICD-10 options include:
E66.09 Other obesity due to excess calories
E66.1
Drug-induced obesity
E66.8
Other obesity
E66.9
Obesity, unspecified
250.40 Diabetes with renal manifestations, type II or unspecified type, not stated as uncontrolled
E11.29 Type 2 diabetes mellitus with other diabetic kidney complication
E11.21 Type 2 diabetes mellitus with diabetic nephropathy
E11.22
Type 2 diabetes mellitus with diabetic chronic kidney disease
E13.21
Other specified diabetes mellitus with diabetic nephropathy
E13.22
Other specified diabetes mellitus with diabetic chronic kidney disease
E13.29
Other specified diabetes mellitus with other diabetic kidney complication
255.41 Glucocorticoid deficiency

Document if Addisonian crisis, primary adrenocoritical insufficiency or drug-induced adrenocortical insufficiency.
E27.1 Primary adrenocortical insufficiency
E27.2 Addisonian crisis
E27.40
Unspecified adrenocortical insufficiency
E27.3
Drug-induced adrenocortical insufficiency
E27.49
Other adrenocortical insufficiency
E89.6
Postprocedural adrenocortical (-medullary) hypofunction
250.53 Diabetes with ophthalmic manifestations, type I, uncontrolled

Document if diabetic retinopathy with or without macular edema. Also note if diabetes mellitus with diabetic cataract or diabetic ophthalmic complication.
E10.311 Type I diabetes mellitus with unspecified diabetic retinopathy with macular edema
E10.319 Type I diabetes mellitus with unspecified diabetic retinopathy without macular edema
E10.36
Type I diabetes mellitus with diabetic cataract
E10.39
Type I diabetes mellitus with other diabetic ophthalmic complication
250.92 Diabetes with unspecified complication, type ii or unspecified type, uncontrolled

Document if other or unspecified hyperfunction of pituitary gland. If hyperfunction is known then its type should be noted.
E11.8 Type 2 diabetes mellitus with unspecified complications
E11.65 Type 2 diabetes mellitus with hyperglycemia
253.1 Other and unspecified anterior pituitary hyperfunction

Document if other or unspecified hyperfunction of pituitary gland. If hyperfunction is known then its type should be noted.
E23.0 Hypopituitarism
E22.8 Other hyperfunction of pituitary gland
E22.9
Hyperfunction of pituitary gland, unspecified
E23.6
Other disorders of pituitary gland
E22.1
Hyperprolactinemia
250.93 Diabetes with unspecified complication, type I [juvenile type], uncontrolled

Document if hyperglycemia is relevant and any other conditions accompanying type 1 diabetes mellitus.
E10.8 Type 1 diabetes mellitus with unspecified complications
E10.65 Type 1 diabetes mellitus with hyperglycemia
253.7 Iatrongenic pituitary disorders

Under I-10 code differentiates between drug induced and post procedural hypopituitarism:
E23.1 Drug induced hypopituitarism
E89.3 Post procedural hypopituitarism
250.63 Diabetes with neurological manifestations, type I [juvenile type], uncontrolled

Note if type 1 diabetes mellitus with hyperglycemia or diabetic neuropathy.
E10.40 Type 1 diabetes mellitus with diabetic neuropathy, unspecified
E10.65 Type 1 diabetes mellitus with hyperglycemia
255.0 Cushing's Syndrome

Note the specific type of cushing's syndrome. May be pituitary dependent, drug induced, ectopic, or others.
E24.0 Pituitary-dependent Cushing's disease
E24.2 Drug-induced Cushing's syndrome
E24.3
Ectopic ACTH syndrome
E24.8
Other Cushing's syndrome
E24.9
Cushing's syndrome, unspecified
E24.4
Alcohol induced pseudo-Cushing's syndrome
255.2 Adrenogenital disorders

Document if congenital adrenogenital disorder associated with enzyeme deficiency or some other adrenogenital disorder.
E25.0 Congenital adrenogenital disorders associated with enzyme deficiency
E25.8 Other adrenogenital disorders
E25.9
Adrenogenital disorder, unspecified
250.50 Diabetes with ophthalmic manifestations, type II or unspecified type, not stated as uncontrolled

Document if diabetic retinopathy with or without macular edema. Also note if diabetes mellitus with diabetic cataract or diabetic ophthalmic complication.
E11.311
Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema
E11.319
Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema
E11.36
Type 2 diabetes mellitus with diabetic cataract
E11.39
Type 2 diabetes mellitus with other diabetic ophthalmic complication
250.51 Diabetes with opthalmic manifestations, type I , not stated as controlled

Note if diabetes is unspecified and document the specific type of manifestation and site of manifestation. A sample of available codes is below:

E11.311 Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema
E11.319 Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema
E11.36
Type 2 diabetes mellitus with diabetic cataract
E11.39
Type 2 diabetes mellitus with other diabetic ophthalmic complication
E11.321
Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema
E11.329
Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema
E11.331
Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema
E11.339
Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema
255.10 Hyperaldosteronism NOS

I-10 codes differentiate between other and unspecified. If hyperaldosteroism type can be determined then those specifics should be noted.
E26.09 Other primary hyperaldosteronism
E26.9 Hyperaldosteronism, unspecified
253.9 Unspecified disorder of the pituitary gland and its hypothalamic control

2 new I-10 codes allows differentiation as to whether the disorder is in the pituitary or the hypothalumus.
E23.3 Hypothalamic dysfunction, not elsewhere classified
E23.7 Disorder of pituitary gland, unspecified
258.8 Other specified polyglandular dysfunction

Document if multiple endocrine neoplasia syndrome, or other polyglandular hyperfunction or dysfunction.
E31.20 Multiple endocrine neoplasia [MEN] syndrome, unspecified
E31.8 Other polyglandular dysfunction
E31.1
Polyglandular hyperfunction
780.79 Other malaise and fatigue

Document the specific nature of maliase and fatigue. Possibilities include postviral fatigue syndrom, weakness, or neoplastic related fatigue.
G93.3 Postviral fatigue syndrome
R53.1 Weakness
R53.81
Other malaise
R53.83
Other fatigue
R53.0
Neoplastic (malignant) related fatigue
250.80 Diabetes with other specified manifestations, type II or unspecified type, not stated as controlled

The new I-10 coding differentiates between specific manefestations and complications. It is important to note the complication and type of diabetes (Type II) or (Unspecified). A sample of these mappings is below.
E11.630 Type 2 diabetes mellitus with periodontal disease
E11.638 Type 2 diabetes mellitus with other oral complications
E11.649
Type 2 diabetes mellitus with hypoglycemia without coma
E11.65
Type 2 diabetes mellitus with hyperglycemia
E11.69
Type 2 diabetes mellitus with other specified complication
E11.618
Other specified diabetes mellitus with other diabetic arthropathy
E11.620
Other specified diabetes mellitus with diabetic dermatitis
E11.621
Other specified diabetes mellitus with foot ulcer
E11.622
Other specified diabetes mellitus with other skin ulcer
250.72 Diabetes with peripheral circulatory disorders, type II or unspecified type, uncontrolled

Need to document with diabetic peripheral angiopathy without gangrene or with hyperglycemia.
E11.51 Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E11.65 Type 2 diabetes mellitus with hyperglycemia
250.81 Diabetes with other specified manifestations, type I, not stated as controlled

Note specific manifestation or complication or if that manifestation is unspecified.
E10.618 Type 1 diabetes mellitus with other diabetic arthropathy
E10.620 Type 1 diabetes mellitus with diabetic dermatitis
E10.621
Type 1 diabetes mellitus with foot ulcer
E10.622
Type 1 diabetes mellitus with other skin ulcer
E10.628
Type 1 diabetes mellitus with other skin complications
E10.630
Type 1 diabetes mellitus with periodontal disease
E10.638
Type 1 diabetes mellitus with other oral complications
E10.649
Type 1 diabetes mellitus with hypoglycemia without coma
E10.65
Type 1 diabetes mellitus with hyperglycemia
E10.69
Type 1 diabetes mellitus with other specified complication
250.20 Diabetes with hyperosmolarity, type Iior unspecified type, not stated as controlled

Note if with or without hyperglycemic – hyperocmolar coma or with or without nonketotic hyperglycemic – hyperosmolar coma.
E11.00 Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E11.01 Type 2 diabetes mellitus with hyperosmolarity with coma
E13.00
Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E13.01
Other specified diabetes mellitus with hyperosmolarity with coma
250.73 Diabetes with peripheral circulatory disorders, type I, uncontrolled

Document if with diabetic peripheral angiopathy without gangrene or with hyperglycemia.
E10.51 Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E10.65 Type 2 diabetes mellitus with hyperglycemia
250.12 Diabetes with ketoacidosis, type II or unspecified type , uncontrolled

Note if with hyperglycemia or with ketoacidosis.
E11.65
Type 2 diabetes mellitus with hyperglycemia
E11.69 Type 2 diabetes mellitus with other specified complication
E13.10
Other specified diabetes mellitus with ketoacidosis without coma
250.32 Diabetes with other coma, type II or unspecified type, uncontrolled

Document if with hyperosmolarity or hyperglycemia.
E11.01 Type 2 diabetes mellitus with hyperosmolarity with coma
E11.65 Type 2 diabetes mellitus with hyperglycemia