E76.3
E76.3: Mucopolysaccharidosis, unspecified
Billable / specific codeICD-10-CM
E76.3 is a billable, specific ICD-10-CM code for mucopolysaccharidosis, unspecified. It is valid for submission on a claim.
Check E76.3 with the rest of the claim: free scrubberOther codes that can never be billed with E76.3
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
E76.3 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 49 Specified Lysosomal Storage Disorders9.256 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.
Medicare coverage
E76.3 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
Alphabetic index entries that lead here
- Mucopolysaccharidosis
- Cardiopathy›mucopolysaccharidosis
- Mucopolysaccharidosis›cardiopathy
Code history
Unchanged in every release from FY2024 to FY2027.