MCMedicalCodingSoftware
E72.20

E72.20Disorder of urea cycle metabolism, unspecified

Billable / specific codeICD-10-CM

E72.20 is a billable, specific ICD-10-CM code for disorder of urea cycle metabolism, unspecified. It is valid for submission on a claim.

Excludes1 — never code together

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

  • hyperammonemia-hyperornithinemia-homocitrullinemia syndrome E72.4
  • transient hyperammonemia of newborn (P74.6)

Inclusion terms

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

  • Hyperammonemia

Excludes1 inherited from the categories above E72.20

These are not written on E72.20, but they bind it: a note on a category applies to every code beneath it. Billing E72.20 with anything listed here is a denial.

Written on E72.2 Disorders of urea cycle metabolism

  • disorders of ornithine metabolism (E72.4)

Written on E72 Other disorders of amino-acid metabolism

  • disorders of:
  • aromatic amino-acid metabolism (E70.-)
  • branched-chain amino-acid metabolism (E71.0-E71.2)
  • fatty-acid metabolism (E71.3)
  • purine and pyrimidine metabolism (E79.-)
  • gout (M1A.-, M10.-)

Risk adjustment

E72.20 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.

How E72.20 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to E72.20.

  • Hyperammonemia(congenital)
  • Disorderurea cycle metabolism
  • Disturbancemetabolismammonia
  • Disturbancemetabolismurea cycle

Code history

E72.20 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share E72.2. If E72.20 is not quite right, the correct code is usually one of these.

Questions about E72.20

Is E72.20 a billable ICD-10-CM code?
Yes. E72.20 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does E72.20 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 E72.20?
E72.20 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above E72.20 (E72.2, E72) and apply to it just the same.
ICD-10-CMFY2026-Apr· effective April 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.