2024 ICD-10-CM Diagnosis Code E22.0

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

• Acromegalic cardiomyopathy
• Acromegalic facies
• Acromegalic feet
• Acromegaly
• Acromegaly
• Arthropathy associated with acromegaly
• Endocrine myopathy
• Eunuchoid gigantism
• Familial infantile gigantism
• Familial infantile gigantism
• Gigantism
• Gigantism
• Gigantism and acromegaly
• Gigantism due to somatostatin deficiency
• Hyperactive behavior
• Hypermelanosis due to acromegaly
• Hypermelanosis due to endocrine disorder
• Hypersomatotropic gigantism
• Hypersomatotropic gigantism
• Large, broad feet
• Myopathy in acromegaly
• Neuropathy in acromegaly
• Overproduction of growth hormone
• Sotos' syndrome
• X-linked acrogigantism due to Xq26 microduplication
• X-linked intellectual disability with acromegaly and hyperactivity syndrome

Clinical Information

• Acromegaly

  a condition caused by prolonged exposure to excessive human growth hormone in adults. it is characterized by bony enlargement of the face; lower jaw (prognathism); hands; feet; head; and thorax. the most common etiology is a growth hormone-secreting pituitary adenoma. (from joynt, clinical neurology, 1992, ch36, pp79-80)

• Growth Hormone-Secreting Pituitary Adenoma

  a pituitary tumor that secretes growth hormone. in humans, excess human growth hormone leads to acromegaly.

• Gigantism

  the condition of accelerated and excessive growth in children or adolescents who are exposed to excess human growth hormone before the closure of epiphyses. it is usually caused by somatotroph hyperplasia or a growth hormone-secreting pituitary adenoma. these patients are of abnormally tall stature, more than 3 standard deviations above normal mean height for age.

• Sotos Syndrome

  congenital or postnatal overgrowth syndrome most often in height and occipitofrontal circumference with variable delayed motor and cognitive development. other associated features include advanced bone age, seizures, neonatal jaundice; hypotonia; and scoliosis. it is also associated with increased risk of developing neoplasms in adulthood. mutations in the nsd1 protein and its haploinsufficiency are associated with the syndrome.

E22.0 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
643	ENDOCRINE DISORDERS WITH MCC	10	1.6451
644	ENDOCRINE DISORDERS WITH CC	10	1.0617
645	ENDOCRINE DISORDERS WITHOUT CC/MCC	10	0.7609

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert E22.0 to ICD-9-CM

• ICD-9-CM Code: 253.0 - Acromegaly and gigantism
  Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education

Pituitary Disorders

Your pituitary gland is a pea-sized gland at the base of your brain. The pituitary is the "master control gland" - it makes hormones that affect growth and the functions of other glands in the body.

With pituitary disorders, you often have too much or too little of one of your hormones. Injuries can cause pituitary disorders, but the most common cause is a pituitary tumor.

[Learn More in MedlinePlus]

Sotos syndrome

Sotos syndrome is a disorder characterized by a distinctive facial appearance, overgrowth in childhood, and learning disabilities or delayed development of mental and movement abilities. Characteristic facial features include a long, narrow face; a high forehead; flushed (reddened) cheeks; and a small, pointed chin.  In addition, the outside corners of the eyes may point downward (down-slanting palpebral fissures). This facial appearance is most notable in early childhood. Affected infants and children tend to grow quickly; they are significantly taller than their siblings and peers and have an unusually large head. However, adult height is usually in the normal range.

People with Sotos syndrome often have intellectual disability, and most also have neurodevelopmental disorders. Conditions that commonly occur in people with Sotos syndrome include autism spectrum disorder, attention-deficit/hyperactivity disorder (ADHD), phobias, obsessions and compulsions, tantrums, and impulsive behaviors. Problems with speech and language are also common.  Affected individuals often have a stutter, a monotone voice, and problems with sound production. Additionally, weak muscle tone (hypotonia) may delay other aspects of early development, particularly motor skills such as sitting and crawling.

Other signs and symptoms of Sotos syndrome can include an abnormal side-to-side curvature of the spine (scoliosis), seizures, heart or kidney defects, hearing loss, and problems with vision. Some infants with this disorder experience yellowing of the skin and whites of the eyes (jaundice) and poor feeding.

A small percentage of people with Sotos syndrome have developed cancer, most often in childhood, but no single form of cancer occurs most frequently with this condition. It remains uncertain whether Sotos syndrome increases the risk of specific types of cancer. If people with this disorder have an increased cancer risk, it is only slightly greater than that of the general population.

[Learn More in MedlinePlus]

Acromegaly

Overview of acromegaly, a disorder that occurs when the body makes too much growth hormone over a long period of time.
[Learn More in MedlinePlus]

Code History

• FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
• FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
• FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
• FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.