E88.81
E88.81: Metabolic syndrome and other insulin resistance
Non-billable headerICD-10-CM
E88.81 is a non-billable header ICD-10-CM code for metabolic syndrome and other insulin resistance. It cannot be billed on its own: choose one of the more specific child codes below.
Use additional code
Add a secondary code to capture the detail described below.
- codes for associated manifestations, such as:
- obesity (E66.-)
Other codes that can never be billed with E88.81
Their own Excludes1 notes name this code, so the conflict is not listed above.
- R73.0Abnormal glucose
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead E88.81
4 child codes. Green means billable.