Difference between revisions of "Adrenal insufficiency, drug-induced (i.e. due to steroid administration)"

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== Additional Info ==
 
== Additional Info ==
{{DA |
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*Prolonged (even as much as 10 days or so) systemic administration of adrenosteroids (e.g. prednisone, hydrocortisone, etc) in sufficient doses suppresses adrenal functionManifestations of that suppression will not show up until either the exogenous steroids are stopped (or greatly reduced) or the patient becomes more physiologically stressed (needing more adrenosteroids than they're being administered)So technically this IS considered to be drug-induced adrenal suppression, but it should only be coded when -- due to a sequence of events as outlined -- it becomes clinically evideet. 
* This code seems to indicate that you get adrenal insufficiency from steroid administrationThis is not the case.  Actually the reverse is true.  If someone has been on steroids and stops taking them then they may present with adrenal insufficiencyNeed to look at this code for accuracy. --[[User:LKolesar|LKolesar]] 08:47, 2019 August 30 (CDT)>}}
 
  
 
== Alternate ICD10s to consider coding instead or in addition ==
 
== Alternate ICD10s to consider coding instead or in addition ==

Latest revision as of 10:58, 2019 October 10

ICD10 Diagnosis
Dx: Adrenal insufficiency, drug-induced (i.e. due to steroid administration)
ICD10 code: E27.3
Pre-ICD10 counterpart: none assigned
Charlson/ALERT Scale: none
APACHE Como Component: none
APACHE Acute Component: Metabolic/Renal NOS, Renal/Metabolic NOS
External ICD10 Documentation
This diagnosis is a part of ICD10 collection.

Additional Info

  • Prolonged (even as much as 10 days or so) systemic administration of adrenosteroids (e.g. prednisone, hydrocortisone, etc) in sufficient doses suppresses adrenal function. Manifestations of that suppression will not show up until either the exogenous steroids are stopped (or greatly reduced) or the patient becomes more physiologically stressed (needing more adrenosteroids than they're being administered). So technically this IS considered to be drug-induced adrenal suppression, but it should only be coded when -- due to a sequence of events as outlined -- it becomes clinically evideet.

Alternate ICD10s to consider coding instead or in addition

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (SMW)

none found

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