20: ADRENAL GLAND HYPERFUNCTION

CONDITION/DISORDER SYNONYMS

• Hyperadrenalism

• Hyperadrenocorticism

• Adrencorticalhyperfunction

ICD-9-CM CODES

• 255.0 Cushing syndrome

• 255.3 Other corticoadrenal overactivity

• 255.6 Medulloadrenal hyperfunction

• Associated physical therapy diagnoses

  • 315.4 Coordination disorder (clumsiness, dyspraxia and/or specific motor development disorder)

  • 718.45 Contracture of joint, pelvic region, and thigh

  • 719.70 Difficulty in walking

  • 728.2 Muscular wasting and disuse atrophy

  • 728.89 Disorders of muscle, ligament, and fascia

  • 729.9 Other disorders of soft tissue

  • 780.7 Malaise and fatigue

  • 781.2 Abnormality of gait: Ataxic, paralytic, spastic, staggering

  • 782.3 Edema

  • 786.0 Dyspnea and respiratory abnormalities

  • 786.05 Shortness of breath

ICD-10-CM CODES

• E24.0 Pituitary-dependent Cushing disease

• E24.2 Drug-induced Cushing syndrome

• E24.3 Ectopic ACTH syndrome

• E24.8 Other Cushing syndrome

• E24.9 Cushing syndrome, unspecified

• E27.5 Adrenomedullary hyperfunction

PREFERRED PRACTICE PATTERNS

• 4D: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Connective Tissue Dysfunction¹

• 4E: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Localized Inflammation²

• 6B: Impaired Aerobic Capacity/Endurance Associated with Deconditioning³

• 7B: Impaired Integumentary Integrity Secondary to Superficial Skin Involvement⁴

KEY FEATURES

Description

• Excessive production and release of adrenal hormones, glucocorticoids (cortisol), androgens, mineralocorticoids from the adrenal glands

• Adrenal glands are critical in regulating inflammation and cardiovascular function

• Insidious or sudden onset

• High cortisol levels

Essentials of Diagnosis

• Fatigue

• Weight gain

• Decreased activity tolerance

• Hypertension

• Confirmation of suspected disease through blood testing