E31.8: Other polyglandular dysfunction

Risk adjustment

E31.8 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

• HCC 51 Addison's and Cushing's Diseases, Acromegaly, and Other Specified Endocrine Disorders0.510 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

E31.8 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

• A58801Billing and Coding: Pharmacogenomics Testing
• A58812Billing and Coding: Pharmacogenomics Testing
• A59915Billing and Coding: Pharmacogenomic Testing