E75.243 — Niemann-Pick disease type D
E75.243 is a billable, specific ICD-10-CM code for niemann-pick disease type d. It is valid for submission on a claim.
Risk adjustment
E75.243 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.
Medicare coverage
E75.243 is named in 13 Medicare coverage policies — 13 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
How E75.243 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to E75.243.
- Niemann-Pick disease or syndrome›type›D
Related codes at this level
Codes that share E75.24. If E75.243 is not quite right, the correct code is usually one of these.
Questions about E75.243
- Is E75.243 a billable ICD-10-CM code?
- Yes. E75.243 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does E75.243 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Metabolic disorders (E70-E88).