E80.1
E80.1: Porphyria cutanea tarda
Billable / specific codeICD-10-CM
E80.1 is a billable, specific ICD-10-CM code for porphyria cutanea tarda. It is valid for submission on a claim.
Check E80.1 with the rest of the claim: free scrubberRisk adjustment
E80.1 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 50 Amyloidosis, Porphyria, and Other Specified Metabolic Disorders0.648 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
E80.1 is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A60360Billing and Coding: Allergy Diagnostic Testing
- A60361Billing and Coding: Allergy Diagnostic Testing
- A60363Billing and Coding: Allergy Diagnostic Testing
- A60364Billing and Coding: Allergy Diagnostic Testing
Alphabetic index entries that lead here
- Porphyria›cutanea tarda(hereditary) (symptomatic)
- Porphyria›hepatocutaneous type
Code history
Unchanged in every release from FY2024 to FY2027.