E20.1 — Pseudohypoparathyroidism
E20.1 is a billable, specific ICD-10-CM code for pseudohypoparathyroidism. It is valid for submission on a claim.
Other codes that can never be billed with E20.1
These codes carry an Excludes1 note pointing at E20.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E20.1 alone.
Risk adjustment
E20.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
E20.1 is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57122Billing and Coding: Parathormone (Parathyroid Hormone)
- A57189Billing and Coding: Serum Magnesium
- A57326Billing and Coding: Electrocardiograms
- A59186Billing and Coding: Magnesium
How E20.1 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to E20.1.
- Pseudohypoparathyroidism
- Pseudopseudohypoparathyroidism
Related codes at this level
Codes that share E20. If E20.1 is not quite right, the correct code is usually one of these.
Questions about E20.1
- Is E20.1 a billable ICD-10-CM code?
- Yes. E20.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does E20.1 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Disorders of other endocrine glands (E20-E35).