E75.242
E75.242: Niemann-Pick disease type C
Billable / specific codeICD-10-CM
E75.242 is a billable, specific ICD-10-CM code for niemann-pick disease type c. It is valid for submission on a claim.
Check E75.242 with the rest of the claim: free scrubberExcludes1 inherited from the categories above E75.242
A category’s note binds every code beneath it.
Other codes that can never be billed with E75.242
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
E75.242 is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52996Billing and Coding: Routine Foot Care
- A56232Billing and Coding: Foot Care
- A56943Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment
- A57037Billing and Coding: MolDX: Biomarkers in Cardiovascular Risk Assessment
Alphabetic index entries that lead here
- Niemann-Pick disease or syndrome›type›C
Code history
Unchanged in every release from FY2024 to FY2027.