ICD-10 E88.89
Billable / Specific HCC v28: 23Other specified metabolic disorders
About ICD-10-CM E88.89
ICD-10-CM code E88.89 represents Other specified metabolic disorders. This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E88). The 2026 edition of ICD-10-CM E88.89 became effective on October 1, 2025.
Coding Tips for E88.89
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
E88.89 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.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under E88.89. Per CMS ICD-10-CM Tabular 2026.
- Launois-Bensaude adenolipomatosis
Type 1 Excludes
Pure excludes, these codes can never be coded together with E88.89. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- adult pulmonary Langerhans cell histiocytosis (J84.82)
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 E88.89
Local Coverage Determinations (LCDs) from CMS MACs that list E88.89 as a covered diagnosis.
Showing top 10 of 97 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing E88.89.
1 Aetna
5 Medicare
CPT Codes Commonly Billed with E88.89
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 83090 CMS LCD: Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment CMS LCD
- 83700 CMS LCD: Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment CMS LCD
- 82172 CMS LCD: Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment CMS LCD
- 86141 CMS LCD: Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment CMS LCD
- 83701 CMS LCD: Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment CMS LCD
- 83719 CMS LCD: Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment CMS LCD
- 83721 CMS LCD: Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment CMS LCD
- 83698 CMS LCD: Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment CMS LCD
- 83695 CMS LCD: Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment CMS LCD
- 83704 CMS LCD: Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment CMS LCD
Convert E88.89 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| E88.89 | 2728 | 10000 |
| E88.89 | 27789 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To E88.89
Other codes in section E70-E88 (Metabolic disorders).
ICD-10 E88.89, Billing FAQ
Is ICD-10 code E88.89 billable? +
Yes, E88.89 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 E88.89? +
ICD-10 E88.89 includes: Launois-Bensaude adenolipomatosis.
What codes are Type 1 Excludes for E88.89? +
Type 1 Excludes (never code together with E88.89): adult pulmonary Langerhans cell histiocytosis (J84.82)
Does E88.89 affect Medicare Advantage HCC risk adjustment? +
Yes. E88.89 maps to CMS-HCC v28 category 23. Capture this diagnosis annually for accurate Medicare Advantage risk score.
What CPT codes are commonly billed with E88.89? +
Procedures frequently paired with E88.89 include: 83090, 83700, 82172, 86141, 83701.
What ICD-9 codes does E88.89 map to? +
Per CMS GEMs, E88.89 maps to ICD-9 codes: 2728, 27789. 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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