E72.538

E72.538: Other specified primary hyperoxaluria

Billable / specific codeICD-10-CM

E72.538 is a billable, specific ICD-10-CM code for other specified primary hyperoxaluria. It is valid for submission on a claim.

Check E72.538 with the rest of the claim: free scrubber

Inclusion terms

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

Primary hyperoxaluria, type 2
Primary hyperoxaluria, type 3

Excludes1 inherited from the categories above E72.538

A category’s note binds every code beneath it.

Written on E72.53: Primary hyperoxaluria

secondary hyperoxaluria (E72.54-)

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

E72.538 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

Disorder›glycine metabolism›hyperoxaluria›primary›specified type NEC
Disorder›glycine metabolism›hyperoxaluria›primary›type 2
Disorder›glycine metabolism›hyperoxaluria›primary›type 3

Code history

addedFY2024-FY2027
Other specified primary hyperoxaluria