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E21.4

E21.4: Other specified disorders of parathyroid gland

Billable / specific codeICD-10-CM

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.

Check E21.4 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above E21.4

A category’s note binds every code beneath it.

Written on E21: Hyperparathyroidism and other disorders of parathyroid gland

  • adult osteomalacia (M83.-)
  • ectopic hyperparathyroidism (E34.2)
  • hungry bone syndrome (E83.81)
  • infantile and juvenile osteomalacia (E55.0)

Excludes2 inherited from the categories above E21.4

Not part of this code, but both may be coded when both are present.

Written on E21: Hyperparathyroidism and other disorders of parathyroid gland

  • familial hypocalciuric hypercalcemia (E83.52)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

E21.4 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • 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

Alphabetic index entries that lead here

  • 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

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under E21

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.