MCMedicalCodingSoftware
D81.81

D81.81: Biotin-dependent carboxylase deficiency

Non-billable headerICD-10-CM

D81.81 is a non-billable header ICD-10-CM code for biotin-dependent carboxylase deficiency. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • biotin-dependent carboxylase deficiency due to dietary deficiency of biotin (E53.8)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Multiple carboxylase deficiency

Excludes1 inherited from the categories above D81.81

A category’s note binds every code beneath it.

Written on D81: Combined immunodeficiencies

  • autosomal recessive agammaglobulinemia (Swiss type) (D80.0)

Other codes that can never be billed with D81.81

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • E79Disorders of purine and pyrimidine metabolism

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead D81.81

3 child codes. Green means billable.

Other codes under D81.8

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.