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

ICD-10 E89.823

Billable / Specific CC

Postprocedural seroma of an endocrine system organ or structure following other procedure

E89
Block
0
Synonyms
19
LCDs
4
Payer Policies
0
Linked CPTs

About ICD-10-CM E89.823

ICD-10-CM code E89.823 represents Postprocedural seroma of an endocrine system organ or structure following other procedure. This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E89). The 2026 edition of ICD-10-CM E89.823 became effective on October 1, 2025.

Coding Tips for E89.823

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

Inpatient DRG impact: CC

E89.823 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.

Inpatient DRG Impact, CC

codes Postprocedural seroma of an endocrine system organ or structure following other procedure. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for E89.823

Local Coverage Determinations (LCDs) from CMS MACs that list E89.823 as a covered diagnosis.

19 LCDs

Showing top 10 of 19 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Vitamin D Assay Testing
Article ID: 57736, Effective: 2024-10-01 00:00:00, 553 covered, 0 non-covered
CPT 82652 →
CMS LCD: Billing and Coding: Vitamin D Assay Testing
Article ID: 57736, Effective: 2024-10-01 00:00:00, 553 covered, 0 non-covered
CPT 82306 →
CMS LCD: Billing and Coding: Ophthalmic Angiography (Fluorescein and Indocyanine Green)
Article ID: 56774, Effective: 2025-10-01 00:00:00, 503 covered, 0 non-covered
CPT 92242 →
CMS LCD: Billing and Coding: Ophthalmic Angiography (Fluorescein and Indocyanine Green)
Article ID: 56774, Effective: 2025-10-01 00:00:00, 503 covered, 0 non-covered
CPT 92240 →
CMS LCD: Billing and Coding: Ophthalmic Angiography (Fluorescein and Indocyanine Green)
Article ID: 56774, Effective: 2025-10-01 00:00:00, 503 covered, 0 non-covered
CPT 92235 →
CMS LCD: Billing and Coding: CT of the Head
Article ID: 56612, Effective: 2025-10-01 00:00:00, 7586 covered, 0 non-covered
CPT G2187 →
CMS LCD: Billing and Coding: CT of the Head
Article ID: 56612, Effective: 2025-10-01 00:00:00, 7586 covered, 0 non-covered
CPT G2188 →
CMS LCD: Billing and Coding: CT of the Head
Article ID: 56612, Effective: 2025-10-01 00:00:00, 7586 covered, 0 non-covered
CPT G2195 →
CMS LCD: Billing and Coding: CT of the Head
Article ID: 56612, Effective: 2025-10-01 00:00:00, 7586 covered, 0 non-covered
CPT G2189 →
CMS LCD: Billing and Coding: CT of the Head
Article ID: 56612, Effective: 2025-10-01 00:00:00, 7586 covered, 0 non-covered
CPT G2194 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing E89.823.

4 policies

4 Medicare

Billing and Coding: CT of the Head
Policy ID: ART-56612
Billing and Coding: Ophthalmic Angiography (Fluorescein and Indocyanine Green)
Policy ID: ART-56774
Billing and Coding: Vitamin D Assay Testing
Policy ID: ART-57718
Billing and Coding: Vitamin D Assay Testing
Policy ID: ART-57736

CPT Codes Commonly Billed with E89.823

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

No procedure linkages on file for E89.823

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 E89.823 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
E89.823 99813 10000

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

Codes Adjacent To E89.823

Other codes in section E89 (Postprocedural endocrine and metabolic complications and disorders, not elsewhere classified).

ICD-10 E89.823, Billing FAQ

Is ICD-10 code E89.823 billable? +

Yes, E89.823 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Is E89.823 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 ICD-9 codes does E89.823 map to? +

Per CMS GEMs, E89.823 maps to ICD-9 codes: 99813. 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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