E88.810

E88.810: Metabolic syndrome

Billable / specific codeICD-10-CM

E88.810 is a billable, specific ICD-10-CM code for metabolic syndrome. It is valid for submission on a claim.

Check E88.810 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Dysmetabolic syndrome

Excludes1 inherited from the categories above E88.810

A category’s note binds every code beneath it.

Written on E88: Other and unspecified metabolic disorders

histiocytosis X (chronic) (C96.6)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

E88.810 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
A56421Billing and Coding: CT of the Abdomen and Pelvis
A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
A57326Billing and Coding: Electrocardiograms

Alphabetic index entries that lead here

Dysmetabolic syndrome X
Metabolic syndrome
Syndrome›dysmetabolic X
Syndrome›metabolic

Code history

Unchanged in every release from FY2024 to FY2027.