E34.09 — Other carcinoid syndrome
E34.09 is a billable, specific ICD-10-CM code for other carcinoid syndrome. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Carcinoid disease NEC
- Carcinoid syndrome NEC
- Other carcinoid disease
Risk adjustment
E34.09 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.
Medicare coverage
E34.09 is named in 9 Medicare coverage policies — 9 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
- A53095Billing and Coding: Lab: Bladder/Urothelial Tumor Markers
- A55028Billing and Coding: Lab: Bladder/Urothelial Tumor Markers
How E34.09 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 E34.09.
- Björck(-Thorson) syndrome (malignant carcinoid)
- Cassidy(-Scholte) syndrome (malignant carcinoid)
- Flush syndrome
- Scholte's syndrome(malignant carcinoid)
- Thorson-Björck syndrome
- Argentaffinoma›syndrome
- Syndrome›argentaffin, argintaffinoma
- Syndrome›Björck(-Thorsen)
- Syndrome›Cassidy(-Scholte)
- Syndrome›flush
- Syndrome›Scholte's
- Syndrome›Thorson-Björck
Related codes at this level
Codes that share E34.0. If E34.09 is not quite right, the correct code is usually one of these.
Questions about E34.09
- Is E34.09 a billable ICD-10-CM code?
- Yes. E34.09 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does E34.09 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Disorders of other endocrine glands (E20-E35).