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Cushing's Syndrome C009
Current RMA Instruments:
|Reasonable Hypothesis SOP||33 of 2009|
|Balance of Probabilities SOP||34 of 2009|
Changes from Previous Instruments:
- ICD-9-CM Codes: 255.0
- ICD-10-AM Codes: E24.0, E24.2, E24.3, E24.8, E24.9
Cushing’s syndrome results from high levels of cortisol over a sustained period. Typical features include central obesity, hypertension, weakness, hirsutism, purplish streaks on the skin and oedema.
Is specific diagnostic evidence required to apply the SOP? – No, but see comments, below.
Are there sub-factors that require specific information? – No.
Additional diagnoses covered by SOP
- Cushing’s disease
If, after applying the above information, you are unable to confirm the diagnosis, you should then:
- seek medical officer advice about further investigation, or;
- generate a diagnostic report, or;
- re-encode the condition, if appropriate.
The following investigations may be useful in establishing the diagnosis.
- Report from treating doctor
Cushing’s syndrome is commonly caused by taking corticosteroid drugs. Stopping or reducing such drugs will generally see the condition resolve. It may thus be a temporary, or short term condition. A "N.I.F." or "resolved" diagnosis may be appropriate if Cushing’s syndrome is no longer present.