2026 ICD-10-CM Diagnosis Code E34.01Carcinoid heart syndrome
ICD-10-CM Codes›E00–E89›E20-E35›E34
- Billable — Valid for Submission
- Chronic Condition
E34.01 is a billable ICD-10-CM diagnosis code for carcinoid heart syndrome. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 643 through 645. Coders also document this condition as carcinoid heart disease. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified and unspecified endocrine disorders.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Carcinoid heart disease
- Serotonin level above reference range
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Carcinoid heart disease
- Hedinger syndrome
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Carcinoidosis - E34.00
- heart - E34.01
- Disease, diseased - See Also: Syndrome;
- Syndrome - See Also: Disease;
- heart - E34.01
- Hedinger's - E34.01
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Carcinoidosis
- heart
- Disease, diseased
- carcinoid
- heart
- Syndrome
- carcinoid
- heart
- Syndrome
- Hedinger's
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Carcinoid Heart Disease
cardiac manifestation of gastrointestinal carcinoid tumor that metastasizes to the liver. substances secreted by the tumor cells, including serotonin, promote fibrous plaque formation in endocardium and its underlying layers. these deposits cause distortion of the tricuspid valve and the pulmonary valve eventually leading to stenosis and valve regurgitation.
Code History & ChangesHistory
Replacement E34.01 replaces the following previously assigned code(s):
- E34.0 - Carcinoid syndrome
Questions About E34.01Overview
Is E34.01 (Carcinoid syndrome) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report carcinoid heart syndrome on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does E34.01 group to?
When carcinoid heart syndrome is the principal diagnosis on an inpatient stay, it groups to MS-DRG 643, 644, 645, with relative weights from 0.7683 to 1.6461 depending on complications. Higher weights mean higher Medicare reimbursement.
Footnotes
[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:
- The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
- The condition places limitations on self-care, independent living, and social interactions.
