ICD-10 E83.824
Billable / Specific HCC v28: 23ABCC6 deficiency causing pseudoxanthoma elasticum
About ICD-10-CM E83.824
ICD-10-CM code E83.824 represents ABCC6 deficiency causing pseudoxanthoma elasticum. This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E83). The 2026 edition of ICD-10-CM E83.824 became effective on October 1, 2025.
Coding Tips for E83.824
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
E83.824 is a CMS-HCC v28 risk-adjustment code (category 23). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.
Medicare Advantage HCC Impact
Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.
Medicare LCD Coverage for E83.824
Local Coverage Determinations (LCDs) from CMS MACs that list E83.824 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing E83.824.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but E83.824 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with E83.824
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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.
Codes Adjacent To E83.824
Other codes in section E70-E88 (Metabolic disorders).
ICD-10 E83.824, Billing FAQ
Is ICD-10 code E83.824 billable? +
Yes, E83.824 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Does E83.824 affect Medicare Advantage HCC risk adjustment? +
Yes. E83.824 maps to CMS-HCC v28 category 23. Capture this diagnosis annually for accurate Medicare Advantage risk score.
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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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