Is E74.1 a billable ICD-10-CM code?

No. E74.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does E74.1 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 E74.1?

E74.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

E74.1

E74.1 — Disorders of fructose metabolism

Non-billable headerICD-10-CM

E74.1 is a non-billable header ICD-10-CM code for disorders of fructose metabolism. 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.

muscle phosphofructokinase deficiency (E74.09)

Risk adjustment

E74.1 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 E74.1

4 child codes. Green means billable.

Related codes at this level

Codes that share E74. If E74.1 is not quite right, the correct code is usually one of these.

Questions about E74.1

Is E74.1 a billable ICD-10-CM code?: No. E74.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does E74.1 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 E74.1?: E74.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.