E72.53: Primary hyperoxaluria
E72.53 is a non-billable header ICD-10-CM code for primary hyperoxaluria. 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.
- secondary hyperoxaluria (E72.54-)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Oxalosis
- Oxaluria
Excludes1 inherited from the categories above E72.53
A category’s note binds every code beneath it.
Other codes that can never be billed with E72.53
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
E72.53 risk-adjusts. Under the CMS-HCC V28 model it maps to these categories:
- HCC 50 Amyloidosis, Porphyria, and Other Specified Metabolic Disorders0.648 RAF
- HCC 50 Amyloidosis, Porphyria, and Other Specified Metabolic Disorders0.648 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Alphabetic index entries that lead here
- Oxalosis
- Oxaluria
- Hyperoxaluria›primary
- Disorder›glycine metabolism›oxalosis
- Disorder›glycine metabolism›oxaluria
- Disorder›metabolism NOS›amino-acid›glycine›hyperoxaluria›primary
Code history
- deletedFY2024-FY2027
Primary hyperoxaluria
Code to one of these instead E72.53
3 child codes. Green means billable.