2025 ICD-10-CM code E88
(Active) Effective Date: N/A Endocrine, Nutritional and Metabolic Diseases - E88 4 Feed
Other and unspecified metabolic disorders
Medical necessity must be established for each specific metabolic disorder.This includes demonstrating the impact of the condition on the patient's health and the need for intervention, whether it's diagnostic testing, medication, or other therapies.
Diagnosis and treatment of these disorders are typically managed by various specialists depending on the specific condition.This might include geneticists, endocrinologists, or other specialists as needed.
In simple words: This code refers to disorders involving the body's chemical processes that create and use energy.These disorders include conditions like problems with fat storage (lipodystrophy), abnormal growth of fat cells (lipomatosis), and issues with how cells use energy (mitochondrial metabolism disorders).Symptoms and treatments vary depending on the specific disorder.
Other and unspecified metabolic disorders refer to a range of conditions affecting the body's chemical reactions, including energy production and utilization. This category encompasses metabolic disorders not classified elsewhere, other specified disorders lacking a specific code, and unspecified metabolic disorders. Examples include alpha-1-antitrypsin deficiency, lipodystrophy, lipomatosis, tumor lysis syndrome, and mitochondrial metabolism disorders. Symptoms, diagnosis, and treatment vary depending on the specific disorder.
Example 1: A patient presents with recurring lung infections and liver problems. After extensive testing, they are diagnosed with alpha-1-antitrypsin deficiency., A patient experiences a significant loss of body fat in specific areas, leading to a diagnosis of lipodystrophy. Further investigations are conducted to determine the underlying cause and appropriate management., A patient develops multiple painful lipomas (benign fatty tumors) throughout their body. They are diagnosed with lipomatosis, and treatment options are discussed, which may include surgical removal or observation depending on the size, location, and symptoms related to the lipomas.
Documentation should clearly specify the type of metabolic disorder, associated signs and symptoms, diagnostic test results (e.g., blood and urine tests, genetic testing), and treatment plan.Any underlying conditions or complications should also be documented.
** This code excludes conditions such as histiocytosis X (chronic) (C96.6). Always refer to the latest ICD-10-CM coding guidelines and any payer-specific requirements for accurate billing and reimbursement.
- Specialties:Endocrinology, Genetics, Internal Medicine, Metabolism
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital