AHA Coding Clinic® for ICD-9 - 2007 Issue 4; VOLUMES 1 AND 2 NEW/REVISED CODES

Glucocorticoid and Mineralocorticoid Deficiency

Effective October 1, 2007, code 255.4 has been expanded to further identify corticoadrenal insufficiency as either glucocorticoid deficiency (255.41) or mineralocorticoid deficiency (255.42). Corticoadrenal insufficiency is related to decreased function of the adrenal cortex, which produces cortisol and aldosterone. Decreased production of cortisol results in a glucocorticoid deficiency. This can cause a range of signs and symptoms, including malaise, loss of appetite, orthostatic hypotension, weight loss, anemia, pre-renal azotemia, hyperpigmentation, and hyponatremia. If aldosterone is also affected, hyperkalemia may occur. In more acute cases of glucocorticoid deficiency, agitation, confusion, fever, and abdominal pain may be found...

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