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2025 ICD-10-CM code E89

Postprocedural endocrine and metabolic complications and disorders not classified elsewhere.

It's important to distinguish between intraoperative and postprocedural complications. Intraoperative complications are coded using different codes (E36.0-, E36.1-, E36.8). Also, if the postprocedural complication is specifically listed elsewhere in the ICD-10-CM, the more specific code should be used.

Medical necessity must be established for the procedure that led to the complication. In addition, the documentation should support the medical necessity of the treatment provided for the postprocedural endocrine or metabolic disorder.

Symptoms vary based on the specific complication. Diagnostic procedures may include complete blood count (CBC), chemistry profile, hormone level tests, and imaging of the affected organs/structures. Treatment is tailored to the disorder and its severity, ranging from symptomatic management to hormone replacement therapy.

In simple words: This code refers to problems with hormone-producing organs or metabolism after a medical procedure, that are not covered by other codes.

This code encompasses complications and disorders affecting the endocrine system that arise following a procedure, but are not classified under other, more specific codes within the ICD-10-CM.

Example 1: A patient develops hypothyroidism following a thyroidectomy. This would be coded as E89.0., A patient experiences adrenal insufficiency after removal of an adrenal gland tumor. This would be coded as E89.1., A patient develops persistent hyperparathyroidism following a parathyroidectomy. This would be coded as E89.89, as it's not otherwise specified in the E89 subcategory.

Detailed documentation of the postprocedural endocrine or metabolic disorder, including the type of procedure performed, the affected organ or system, the specific signs and symptoms, and any diagnostic testing or treatment provided, is essential for accurate coding.

** All neoplasms, whether functionally active or not, are classified in Chapter 2. Specific codes within Chapter 4 (E00-E89) may be used as additional codes to indicate functional activity or dysfunction associated with neoplasms.

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