E83.01: Wilson's disease
E83.01 is a billable, specific ICD-10-CM code for wilson's disease. It is valid for submission on a claim.
Check E83.01 with the rest of the claim: free scrubberCode also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- associated Kayser Fleischer ring (H18.04-)
Other codes that can never be billed with E83.01
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
E83.01 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
E83.01 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56199Billing and Coding: Molecular Pathology Procedures
- A56868Billing and Coding: Outpatient Speech Language Pathology
- A60409Billing and Coding: Molecular Pathology Procedures
Alphabetic index entries that lead here
- Hepatolenticular degeneration
- Kinnier Wilson's disease(hepatolenticular degeneration)
- Lenticular degeneration, progressive
- Strümpell-Westphal pseudosclerosis
- Westphal-Strümpell syndrome
- Deficiency, deficient›ceruloplasmin(Wilson)
- Degeneration, degenerative›hepatolenticular(Wilson's)
- Degeneration, degenerative›lenticular(familial) (progressive) (Wilson's) (with cirrhosis of liver)
- Degeneration, degenerative›Wilson's hepatolenticular
- Disease, diseased›hepatolenticular
- Disease, diseased›Kinnier Wilson's(hepatolenticular degeneration)
- Disease, diseased›Wilson's(hepatolenticular degeneration)
Code history
Unchanged in every release from FY2024 to FY2027.