E21.4 — Other specified disorders of parathyroid gland
E21.4 is a billable, specific ICD-10-CM code for other specified disorders of parathyroid gland. It is valid for submission on a claim.
Risk adjustment
E21.4 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
E21.4 is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
- A57029Billing and Coding: Ultrasound, Soft Tissues of Head and Neck
- A57189Billing and Coding: Serum Magnesium
- A57326Billing and Coding: Electrocardiograms
How E21.4 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 E21.4.
- Cyst›parathyroid(gland)
- Displacement, displaced›parathyroid(gland)
- Dysfunction›parathyroid
- Hemorrhage, hemorrhagic›parathyroid(gland) (spontaneous)
- Infarct, infarction›parathyroid gland
- Disease, diseased›parathyroid›specified NEC
- Disorder›parathyroid›specified NEC
Related codes at this level
Codes that share E21. If E21.4 is not quite right, the correct code is usually one of these.
Questions about E21.4
- Is E21.4 a billable ICD-10-CM code?
- Yes. E21.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does E21.4 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Disorders of other endocrine glands (E20-E35).