AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2026 Issue 2; Ask the Editor
Empty Sella Syndrome (ESS)
A patient with a five year history of empty sella syndrome (ESS) was evaluated for the condition during an outpatient encounter. The most recent MRI showed a partially empty sella with residual pituitary tissue along the floor of the sella. No changes or symptoms were noted. What is the appropriate code assignment for ESS? ...
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Article Overview
This coding article discusses empty sella syndrome in the context of outpatient evaluation and diagnostic imaging findings. It is intended for coding professionals and clinical documentation staff who need to understand the article’s general approach to diagnosis coding, related manifestations, and abnormal imaging findings without relying on the full premium text.
Why This Topic Matters
Accurate diagnosis coding for empty sella syndrome can affect how pituitary-related conditions and incidental imaging findings are represented in the record. This article helps readers understand the scope of the topic and the types of documentation issues involved.
What You Will Learn
- How the article frames empty sella syndrome as a coding topic
- How associated findings are discussed at a high level
- How abnormal diagnostic imaging findings are addressed in the article's context
- How outpatient documentation influences the coding discussion
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation specialists
- Revenue cycle staff
Codes Discussed
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