ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 E65

Billable / Specific

Localized adiposity

E65
Block
1
Synonyms
148
LCDs
5
Payer Policies
0
Linked CPTs

About ICD-10-CM E65

ICD-10-CM code E65 represents Localized adiposity. This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E65). The 2026 edition of ICD-10-CM E65 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under E65. Per CMS ICD-10-CM Tabular 2026.

  • Fat pad

Medicare LCD Coverage for E65

Local Coverage Determinations (LCDs) from CMS MACs that list E65 as a covered diagnosis.

148 LCDs

Showing top 10 of 148 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 58774, Effective: 2026-01-01 00:00:00, 222 covered, 1 non-covered
CPT 11954 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 58774, Effective: 2026-01-01 00:00:00, 222 covered, 1 non-covered
CPT 15826 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 58774, Effective: 2026-01-01 00:00:00, 222 covered, 1 non-covered
CPT 11922 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 58774, Effective: 2026-01-01 00:00:00, 222 covered, 1 non-covered
CPT 15792 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 58774, Effective: 2026-01-01 00:00:00, 222 covered, 1 non-covered
CPT 15877 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 58774, Effective: 2026-01-01 00:00:00, 222 covered, 1 non-covered
CPT 15838 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 58774, Effective: 2026-01-01 00:00:00, 222 covered, 1 non-covered
CPT 19300 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 58774, Effective: 2026-01-01 00:00:00, 222 covered, 1 non-covered
CPT 19371 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 58774, Effective: 2026-01-01 00:00:00, 222 covered, 1 non-covered
CPT 15776 →
CMS LCD: Billing and Coding: Cosmetic and Reconstructive Surgery
Article ID: 58774, Effective: 2026-01-01 00:00:00, 222 covered, 1 non-covered
CPT 15879 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing E65.

5 policies

2 Medicare

Billing and Coding: Cosmetic and Reconstructive Surgery
Policy ID: ART-58774
Billing and Coding: Cosmetic and Reconstructive Surgery
Policy ID: ART-59299

2 Humana Medicare Advantage

Bone Graft Substitutes - Medicare Advantage
Policy ID: HUM-090009298a4a4fd5
Injections for Chronic Pain Conditions - Medicare Advantage
Policy ID: HUM-090009298a4a6706

1 Humana Medicaid

Injections for Chronic Pain Conditions - MEDICAID - KENTUCKY
Policy ID: HUM-090009298a4245e1

CPT Codes Commonly Billed with E65

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for E65

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert E65 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
E65 2781 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 E65, Billing FAQ

Is ICD-10 code E65 billable? +

Yes, E65 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to E65? +

ICD-10 E65 includes: Fat pad.

What ICD-9 codes does E65 map to? +

Per CMS GEMs, E65 maps to ICD-9 codes: 2781. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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