E22.1

✓ Billable

Hyperprolactinemia

Endocrine, nutritional and metabolic diseases (E00-E89)

Check This Code

❌ Excludes1

inherited

Rules inherited from parent codes in the hierarchy.

  • Cushing's syndrome (E24.-)
  • Nelson's syndrome (E24.1)
  • overproduction of ACTH not associated with Cushing's disease (E27.0)
  • overproduction of pituitary ACTH (E24.0)
  • overproduction of thyroid-stimulating hormone (E05.8-)

📋 Code Instructions

direct
  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Clinical Description

ICD-10-CM code E22.1 represents hyperprolactinemia. This code falls under the Endocrine, nutritional and metabolic diseases (E00-E89) classification. It is a billable/specific code valid for HIPAA-covered transactions as of October 1, 2025 (FY2026). This code can be used to indicate a diagnosis for reimbursement purposes on insurance claims.

This is a 5-character code at the 4th level of specificity. This is the most specific code available in this subcategory. Coders should note that E22.1 has 5 Excludes1 restriction(s) — codes that cannot be reported together on the same claim.

Frequently Asked Questions

What is ICD-10 code E22.1?

ICD-10-CM code E22.1 is "Hyperprolactinemia". It belongs to the category: Endocrine, nutritional and metabolic diseases (E00-E89).

Is E22.1 a billable ICD-10 code?

Yes, E22.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What codes are excluded with E22.1?

E22.1 has 5 Excludes1 rule(s). These codes are mutually exclusive and cannot be coded together on the same claim.

🧪 Validate Combinations

Add E22.1 to the Excludes Checker to validate against your full code list.

Open in Checker →

Code Information

CodeE22.1
BillableYes
ParentE22
CategoryEndocrine, nutritional and metabolic diseases (E00-E89)
Excludes15 rule(s)
Excludes20 note(s)

Data Source

CMS ICD-10-CM 2026 Tabular List

Updated October 1, 2025 (FY2026)