E65
E65: Localized adiposity
Billable / specific codeICD-10-CM
E65 is a billable, specific ICD-10-CM code for localized adiposity. It is valid for submission on a claim.
Check E65 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Fat pad
Other codes that can never be billed with E65
Their own Excludes1 notes name this code, so the conflict is not listed above.
- R22Localized swelling, mass and lump of skin and subcutaneous tissue
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
E65 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A58774Billing and Coding: Cosmetic and Reconstructive Surgery
- A59299Billing and Coding: Cosmetic and Reconstructive Surgery
Alphabetic index entries that lead here
- Panniculus adiposus(abdominal)
- Adiposity›localized
- Fat›localized(pad)
- Fat›pad
- Fatty›apron
- Hypertrophy, hypertrophic›fat pad
- Pannus›abdominal(symptomatic)
- Redundant, redundancy›panniculus(abdominal)
- Excess, excessive, excessively›fat›localized
Code history
Unchanged in every release from FY2024 to FY2027.