ICD-10 Code E24.4 – Alcohol-induced pseudo-Cushing’s syndrome (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code E24.4 – Alcohol-induced pseudo-Cushing’s syndrome
What it is
E24.4 identifies a Cushing-like state caused by alcohol use rather than a primary adrenal or pituitary disorder. It reflects endocrine changes that can mimic true Cushing syndrome.
Clinical signs
Clinical features vary; refer to documentation. Commonly noted findings may include a Cushingoid appearance, such as central weight gain, facial fullness, or skin changes, in the setting of alcohol use.
When to use this code
Use this code when the clinician documents alcohol-induced pseudo-Cushing’s syndrome or a Cushing-like syndrome attributed to alcohol. Code it only when the record clearly links the endocrine picture to alcohol use. Check documentation if the cause is uncertain.
Do not use for
Do not use E24.4 for confirmed Cushing syndrome from pituitary, adrenal, or ectopic causes. Do not use it for alcohol use disorder alone without documentation of the pseudo-Cushing syndrome.
Coding tip
Verify that the provider states alcohol as the cause before assigning E24.4.