E24.3

E24.3: Ectopic ACTH syndrome

Billable / specific codeICD-10-CM

E24.3 is a billable, specific ICD-10-CM code for ectopic acth syndrome. It is valid for submission on a claim.

Check E24.3 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above E24.3

A category’s note binds every code beneath it.

Written on E24: Cushing's syndrome

congenital adrenal hyperplasia (E25.0)

Other codes that can never be billed with E24.3

Their own Excludes1 notes name this code, so the conflict is not listed above.

E22Hyperfunction of pituitary gland
E27.0Other adrenocortical overactivity
E34.2Ectopic hormone secretion, not elsewhere classified

Risk adjustment

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

Medicare coverage

E24.3 is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A54923Billing and Coding: Bariatric Surgery for Treatment of Co-Morbidities Conditions Related to Morbid Obesity
A56421Billing and Coding: CT of the Abdomen and Pelvis
A56612Billing and Coding: CT of the Head
A57132Billing and Coding: Bone Mass Measurement

Alphabetic index entries that lead here

ACTH ectopic syndrome
Ectopic, ectopia›ACTH syndrome
Syndrome›ectopic ACTH
Syndrome›Cushing's›due to›ectopic ACTH

Code history

Unchanged in every release from FY2024 to FY2027.