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E16 ICD-10-CM Code: Other disorders of pancreatic internal secretion

E16 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · free HCC coding tools

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FY 2026 Apr update / Endocrine, nutritional and metabolic diseases (E00-E89) / Other disorders of glucose regulation and pancreatic internal secretion (E15-E16)

E16

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Other disorders of pancreatic internal secretion

Other disorders of pancreatic internal secretion

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
E1Other disorders of glucose regulation and pancreatic internal secretion (E15-E16)
E16Other disorders of pancreatic internal secretion

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for E16 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for E16 in this effective period.

Related Child Codes

Official
E16.0Drug-induced hypoglycemia without coma
E16.1Other hypoglycemia
E16.2Hypoglycemia, unspecified
E16.3Increased secretion of glucagon
E16.4Increased secretion of gastrin

Includes

Official

ICD-10-CM does not list Includes notes for E16 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for E16 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for E16 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for E16 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for E16 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
E16
Description
Other disorders of pancreatic internal secretion
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

E16 is the ICD-10-CM diagnosis code for other disorders of pancreatic internal secretion. E16 sits in the ICD-10-CM chapter for endocrine, nutritional and metabolic diseases (e00-e89), within the section covering other disorders of glucose regulation and pancreatic internal secretion (e15-e16).

Header codes like E16 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at E16's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for E16 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

E16Other disorders of pancreatic internal secretion
E16Other disorders of pancreatic internal secretion

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