E34.01
E34.01: Carcinoid heart syndrome
Billable / specific codeICD-10-CM
E34.01 is a billable, specific ICD-10-CM code for carcinoid heart syndrome. It is valid for submission on a claim.
Check E34.01 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Carcinoid heart disease
- Hedinger syndrome
Risk adjustment
E34.01 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 17 Cancer Metastatic to Lung, Liver, Brain, and Other Organs; Acute Myeloid Leukemia Except Promyelocytic4.209 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
E34.01 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
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- A56471Billing and Coding: Bladder/Urothelial Tumor Markers
Alphabetic index entries that lead here
- Carcinoidosis›heart
- Syndrome›Hedinger's
- Disease, diseased›carcinoid›heart
- Syndrome›carcinoid›heart
Code history
- addedFY2024-FY2027
Carcinoid heart syndrome