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

ICD-10 E87.29

Billable / Specific CC

Other acidosis

E87
Block
1
Synonyms
214
LCDs
19
Payer Policies
69
Linked CPTs

About ICD-10-CM E87.29

ICD-10-CM code E87.29 represents Other acidosis. This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E87). The 2026 edition of ICD-10-CM E87.29 became effective on October 1, 2025.

Coding Tips for E87.29

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

E87.29 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under E87.29. Per CMS ICD-10-CM Tabular 2026.

  • Respiratory acidosis NOS

Type 2 Excludes

Not included here, the excluded code is not part of E87.29, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • acute respiratory acidosis (J96.02)
  • chronic respiratory acidosis (J96.12)

Inpatient DRG Impact, CC

codes Other acidosis. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for E87.29

Local Coverage Determinations (LCDs) from CMS MACs that list E87.29 as a covered diagnosis.

214 LCDs

Showing top 10 of 214 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Magnesium
Article ID: 59186, Effective: 2025-10-01 00:00:00, 4358 covered, 0 non-covered
CPT 83735 →
CMS LCD: Billing and Coding: Frequency of Hemodialysis
Article ID: 55672, Effective: 2022-10-01 00:00:00, 56 covered, 1 non-covered
CPT 90999 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94660 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94726 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94664 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94618 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94772 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94642 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT G0238 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94004 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing E87.29.

19 policies

5 Medicare

Billing and Coding: Urine Drug Testing
Policy ID: ART-54799
Billing and Coding: Urine Drug Testing
Policy ID: ART-55001
Billing and Coding: Frequency of Hemodialysis
Policy ID: ART-55354
Billing and Coding: Frequency of Hemodialysis
Policy ID: ART-55672
Billing and Coding: Frequency of Hemodialysis
Policy ID: ART-55675

1 Aetna

Pancreas Transplantation Alone (PTA) and Islet Cell Transplantation
Policy ID: CPB-0601

CPT Codes Commonly Billed with E87.29

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

69 linkages
  • G0480 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • 80306 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • G0482 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • 0603U CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • 80305 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • G0659 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • G0483 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • 80307 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • G0481 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • 90999 CMS LCD: Billing and Coding: Frequency of Hemodialysis CMS LCD

ICD-10 E87.29, Billing FAQ

Is ICD-10 code E87.29 billable? +

Yes, E87.29 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 E87.29? +

ICD-10 E87.29 includes: Respiratory acidosis NOS.

What codes are Type 2 Excludes for E87.29? +

Type 2 Excludes (may be coded together when both conditions exist): acute respiratory acidosis (J96.02); chronic respiratory acidosis (J96.12)

Is E87.29 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What CPT codes are commonly billed with E87.29? +

Procedures frequently paired with E87.29 include: G0480, 80306, G0482, 0603U, 80305.

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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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