E85.3: Secondary systemic amyloidosis
E85.3 is a billable, specific ICD-10-CM code for secondary systemic amyloidosis. It is valid for submission on a claim.
Check E85.3 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Hemodialysis-associated amyloidosis
Other codes that can never be billed with E85.3
Their own Excludes1 notes name this code, so the conflict is not listed above.
- E27.1Primary adrenocortical insufficiency
Risk adjustment
E85.3 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
E85.3 is named in 30 Medicare coverage policies: 30 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
- A54954Billing and Coding: Autonomic Function Tests
- A55336Billing and Coding: Retroperitoneal Ultrasound
Alphabetic index entries that lead here
- Amyloidosis›hemodialysis-associated
- Amyloidosis›secondary systemic
Code history
Unchanged in every release from FY2024 to FY2027.