E74.4
E74.4: Disorders of pyruvate metabolism and gluconeogenesis
Billable / specific codeICD-10-CM
E74.4 is a billable, specific ICD-10-CM code for disorders of pyruvate metabolism and gluconeogenesis. It is valid for submission on a claim.
Check E74.4 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Deficiency of phosphoenolpyruvate carboxykinase
- Deficiency of pyruvate carboxylase
- Deficiency of pyruvate dehydrogenase
Other codes that can never be billed with E74.4
Their own Excludes1 notes name this code, so the conflict is not listed above.
- E88.4Mitochondrial metabolism disorders
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
E74.4 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
Alphabetic index entries that lead here
- Deficiency, deficient›phosphoenolpyruvate carboxykinase
- Disorder›gluconeogenesis
- Disorder›pyruvate metabolism
- Deficiency, deficient›pyruvate›carboxylase
- Deficiency, deficient›pyruvate›dehydrogenase
- Disorder›metabolism NOS›pyruvate
Code history
Unchanged in every release from FY2024 to FY2027.