E27.40

Unspecified adrenocortical insufficiency

FY2027Chapter 4: Endocrine, nutritional and metabolic diseases/E20–E35 Disorders of other endocrine glands

BillableComplete code, valid to report
Care settingsHospital CC

E27.40 (also written E2740) is a billable ICD-10-CM diagnosis code for unspecified adrenocortical insufficiency. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 9 codes in category E27 (Other disorders of adrenal gland). The Alphabetic Index lists it under 10 entries. Its coding notes include 5 Excludes1 entries.

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from E27.4 Other and unspecified adrenocortical insufficiency
  • adrenoleukodystrophy [Addison-Schilder] (E71.528)
  • Waterhouse-Friderichsen syndrome (A39.1)
Also from chapter/block level (3 notes)
Inherited from E20–E35 Disorders of other endocrine glands
Inherited from Chapter 4 Endocrine, nutritional and metabolic diseases
  • transitory endocrine and metabolic disorders specific to newborn (P70-P74)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Hospital CC

Counts as a complication or comorbidity (CC) when reported as a secondary diagnosis on an inpatient claim. It does not count when the principal diagnosis is one of the 22 codes in its exclusion list. Some MS-DRGs also ignore a CC or MCC that defines the DRG.

Source: CMS MS-DRG Definitions Manual v44, effective October 1, 2026, Appendix C

Inclusion terms

Conditions classified to this code.

This code
  • Adrenocortical insufficiency NOS
  • Hypoaldosteronism

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 4 Endocrine, nutritional and metabolic diseases
  • All neoplasms, whether functionally active or not, are classified in Chapter 2. Appropriate codes in this chapter (i.e. E05.8, E07.0, E16-E31, E34.-) may be used as additional codes to indicate either functional activity by neoplasms and ectopic endocrine tissue or hyperfunction and hypofunction of endocrine glands associated with neoplasms and other conditions classified elsewhere.

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 10 entries