E85.2
E85.2: Heredofamilial amyloidosis, unspecified
Billable / specific codeICD-10-CM
E85.2 is a billable, specific ICD-10-CM code for heredofamilial amyloidosis, unspecified. It is valid for submission on a claim.
Check E85.2 with the rest of the claim: free scrubberOther codes that can never be billed with E85.2
Their own Excludes1 notes name this code, so the conflict is not listed above.
- E27.1Primary adrenocortical insufficiency
Risk adjustment
E85.2 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
E85.2 is named in 24 Medicare coverage policies: 24 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A52996Billing and Coding: Routine Foot Care
- A55336Billing and Coding: Retroperitoneal Ultrasound
- A56232Billing and Coding: Foot Care
Alphabetic index entries that lead here
- Amyloidosis›familial
- Amyloidosis›genetic
Code history
Unchanged in every release from FY2024 to FY2027.