PCM · Endocrinology
PCM Qualifying Diagnoses
for Endocrinology.
21 ICD-10 codes qualify endocrinology patients for Principal Care Management (PCM).
Qualifying Codes
ICD-10 codes for endocrinology.
Adrenal Disorders
2 codesPrimary adrenocortical insufficiency (Addison's)
Primary adrenocortical insufficiency (Addison's)
Cushing's syndrome, unspecified
Cushing's syndrome, unspecified
Osteoporosis
1 codeAge-related osteoporosis with current pathological fracture, unspecified site
Fall detection + activity monitoring; fracture prevention
Age-related osteoporosis with current pathological fracture, unspecified site
Fall detection + activity monitoring; fracture prevention
Other Diabetes
1 codeOther specified diabetes mellitus with hyperglycemia
Other specified diabetes mellitus with hyperglycemia
Pituitary Disorders
1 codeAcromegaly and pituitary gigantism
Acromegaly and pituitary gigantism
Thyroid Disorders
1 codeThyrotoxicosis, unspecified without thyrotoxic crisis
Weight + heart rate monitoring during medication titration
Thyrotoxicosis, unspecified without thyrotoxic crisis
Weight + heart rate monitoring during medication titration
Type 1 Diabetes
5 codesType 1 diabetes mellitus with ketoacidosis without coma
Type 1 diabetes mellitus with ketoacidosis without coma
Type 1 diabetes mellitus with diabetic nephropathy
Type 1 diabetes mellitus with diabetic nephropathy
Type 1 diabetes mellitus with diabetic chronic kidney disease
Type 1 diabetes mellitus with diabetic chronic kidney disease
Type 1 diabetes mellitus with diabetic neuropathy, unspecified
Type 1 diabetes mellitus with diabetic neuropathy, unspecified
Type 1 diabetes mellitus with hyperglycemia
CGM or BGM monitoring; tight glucose control target
Type 1 diabetes mellitus with hyperglycemia
CGM or BGM monitoring; tight glucose control target
Type 2 Diabetes
10 codesType 2 diabetes mellitus with hyperosmolarity without NKHHC
Type 2 diabetes mellitus with hyperosmolarity without NKHHC
Type 2 diabetes mellitus with diabetic nephropathy
Type 2 diabetes mellitus with diabetic nephropathy
Type 2 diabetes mellitus with diabetic chronic kidney disease
Type 2 diabetes mellitus with diabetic chronic kidney disease
Type 2 diabetes mellitus with other diabetic kidney complication
Type 2 diabetes mellitus with other diabetic kidney complication
Type 2 diabetes mellitus with diabetic neuropathy, unspecified
Type 2 diabetes mellitus with diabetic neuropathy, unspecified
Type 2 diabetes mellitus with diabetic polyneuropathy
Type 2 diabetes mellitus with diabetic polyneuropathy
Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
Type 2 diabetes mellitus with hyperglycemia
Most common diabetes RPM diagnosis; CGM or daily BGM
Type 2 diabetes mellitus with hyperglycemia
Most common diabetes RPM diagnosis; CGM or daily BGM
Type 2 diabetes mellitus with other specified complication
Type 2 diabetes mellitus with other specified complication
Type 2 diabetes mellitus with unspecified complications
Type 2 diabetes mellitus with unspecified complications
Clinical Context
Why endocrinology practices benefit from PCM.
Endocrinology practices can leverage PCM to improve patient outcomes through structured care management, generating $97–$220+ per patient per month in Medicare reimbursement while reducing avoidable hospitalizations.
Related Conditions
Condition monitoring guides.
FAQ
Common questions.
What ICD-10 codes qualify endocrinology patients for PCM?
There are 21 ICD-10 codes that qualify endocrinology patients for Principal Care Management (PCM). These include codes across 7 diagnosis categories: Adrenal Disorders, Osteoporosis, Other Diabetes, Pituitary Disorders, Thyroid Disorders, Type 1 Diabetes, Type 2 Diabetes.
How does CCN Health support endocrinology practices with PCM?
CCN Health provides turnkey PCM services for endocrinology practices — including patient eligibility identification, enrollment documentation, device provisioning, clinical monitoring, and full Medicare billing support. Most practices are fully operational within 1 week.
What is the revenue potential for PCM in endocrinology?
PCM generates $68–149 per patient per month in Medicare reimbursement. Endocrinology practices with a high prevalence of qualifying conditions can scale rapidly, especially when PCM is stacked with other eligible programs like RPM and BHI.