MCMCB Pro
E79

E79Disorders of purine and pyrimidine metabolism

Non-billable headerICD-10-CM

E79 is a non-billable header ICD-10-CM code for disorders of purine and pyrimidine 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.

  • Ataxia-telangiectasia (Q87.19)
  • Bloom's syndrome (Q82.8)
  • Cockayne's syndrome (Q87.19)
  • calculus of kidney (N20.0)
  • combined immunodeficiency disorders (D81.-)
  • Fanconi's anemia (D61.09)
  • gout (M1A.-, M10.-)
  • orotaciduric anemia (D53.0)
  • progeria (E34.8)
  • Werner's syndrome (E34.8)
  • xeroderma pigmentosum (Q82.1)

Other codes that can never be billed with E79

These codes carry an Excludes1 note pointing at E79. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E79 alone.

  • R79Other abnormal findings of blood chemistry
  • D53.0Protein deficiency anemia
  • E72Other disorders of amino-acid metabolism

Risk adjustment

E79 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 E79

5 child codes. Green means billable.

Questions about E79

Is E79 a billable ICD-10-CM code?
No. E79 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does E79 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 E79?
E79 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.