E71.5
E71.5 — Peroxisomal disorders
Non-billable headerICD-10-CM
E71.5 is a non-billable header ICD-10-CM code for peroxisomal disorders. 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.
- Schilder's disease (G37.0)
Other codes that can never be billed with E71.5
These codes carry an Excludes1 note pointing at E71.5. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E71.5 alone.
- Q77.3Chondrodysplasia punctata
- Q87.8Other specified congenital malformation syndromes, not elsewhere classified
- E27.4Other and unspecified adrenocortical insufficiency
- E27.1Primary adrenocortical insufficiency
- E71.3Disorders of fatty-acid metabolism
- E72.3Disorders of lysine and hydroxylysine metabolism
- E75.2Other sphingolipidosis
- G37.0Diffuse sclerosis of central nervous system
Risk adjustment
E71.5 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead E71.5
5 child codes. Green means billable.
Related codes at this level
Codes that share E71. If E71.5 is not quite right, the correct code is usually one of these.
Questions about E71.5
- Is E71.5 a billable ICD-10-CM code?
- No. E71.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does E71.5 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Metabolic disorders (E70-E88).
- What cannot be coded together with E71.5?
- E71.5 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.