What is ICD-10 code E70.30?

E70.30 is the ICD-10-CM diagnosis code for Albinism, unspecified. A genetic condition where the body produces little to no melanin (pigment), resulting in very light skin, hair, and eyes, but the specific type is not specified. E70.30 is a billable code, meaning it can be reported on a claim as a primary or secondary diagnosis when supported by documentation. E70.30 is part of the FY2026 ICD-10-CM code set published by the CMS National Center for Health Statistics and used on Medicare, Medicaid, and commercial claims in the United States.

Yes. E70.30 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. E70.30 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

What is the V28 vs V24 difference for E70.30?

CMS phased in the V28 risk adjustment model over payment years 2024 (33%), 2025 (67%), and 2026 (100%), replacing V24. V28 consolidates HCC categories, removes some lower-acuity conditions, and recalibrates RAF weights across the entire model. E70.30 was a payment HCC under V24 (Other Significant Endocrine and Metabolic Disorders) but the V28 recalibration removed it from the risk adjustment model. Both models can still appear in legacy data and in payer-specific lookback periods.

What should coders know when reporting E70.30?

Albinism has multiple subtypes; review clinical documentation to determine if ocular or oculocutaneous albinism is present Document any associated vision problems or skin complications for complete coding Because E70.30 maps to a payment HCC, the documentation must also satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's risk adjustment score.

E70.30: Albinism, unspecified — ICD-10 | Other Significant Endocrine and Metabolic Disorders

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

Code lookupE70.30Effective periodFY2026 Apr Update (Apr 1-Sep 30)

FY 2026 Apr update / Endocrine, nutritional and metabolic diseases (E00-E89) / Metabolic disorders (E70-E88)

E70.30

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Albinism, unspecified

A genetic condition where the body produces little to no melanin (pigment), resulting in very light skin, hair, and eyes, but the specific type is not specified.

Buddy Insight

CMS-HCC V28

Not risk-adjusted for this model/period.

RAF 0

CMS-HCC V24

Mapped

HCC 23

Other Significant Endocrine a...

RAF 0.230

ACA/HHS

Not risk-adjusted for this model/period.

RAF 0

ESRD/PACE

Mapped

HCC 23

Other Significant Endocrine a...

RAF 0.0

RXHCC

Mapped

HCC 43

Other Significant Endocrine a...

RAF 0.0

Code Trumping

Basket needed

Compare selected patient codes to show trumped or trumps impact.

Code Book Path

Official

E70Disorders of aromatic amino-acid metabolism

E70.3Albinism

E70.30Albinism, unspecified

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for E70.30 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for E70.30 in this effective period.

Related Child Codes

Official

E70.31Ocular albinism

E70.32Oculocutaneous albinism

E70.33Albinism with hematologic abnormality

E70.39Other specified albinism

Includes

Official

ICD-10-CM does not list Includes notes for E70.30 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for E70.30 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for E70.30 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for E70.30 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for E70.30 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance

Documentation should describe the extent of pigment loss (skin only, eyes only, or both), visual acuity findings, nystagmus assessment, and skin examination results.

The provider should specify whether this is ocular or oculocutaneous albinism and document any hematologic abnormalities.

Genetic testing results and family history should be included.

Skin cancer screening frequency and sun protection counseling should be noted.

MEAT Support

HCC Buddy guidance

Documentation should describe the extent of pigment loss (skin only, eyes only, or both), visual acuity findings, nystagmus assessment, and skin examination results.

The provider should specify whether this is ocular or oculocutaneous albinism and document any hematologic abnormalities.

Genetic testing results and family history should be included.

Skin cancer screening frequency and sun protection counseling should be noted.

Audit Caution

HCC Buddy guidance

Always attempt to determine the specific type of albinism before assigning this unspecified code.

Do not confuse albinism with vitiligo (acquired depigmentation) or piebaldism (focal congenital depigmentation).

Ensure the provider documents this as a genetic condition rather than acquired hypopigmentation.

Code all associated complications (visual impairment, skin lesions) separately for complete clinical picture.

Common Mistakes

HCC Buddy guidance

E70.310-E70.319 (Ocular albinism codes) specify eye-only involvement.

E70.320-E70.329 (Oculocutaneous albinism codes) specify skin and eye involvement.

E70.330-E70.339 (Albinism with hematologic abnormality) includes bleeding or immune disorders.

E70.39 (Other specified albinism) covers other variants.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is E70.30 an HCC code?

Yes. E70.30 maps to Other Significant Endocrine and Metabolic Disorders under the V24 model but is not retained in V28.

HCC Category Mapping

V24HCC 23, Other Significant Endocrine and Metabolic Disorders

0.230

ESRDHCC 23, Other Significant Endocrine and Metabolic Disorders

0.000

RxHCCHCC 43, Other Significant Endocrine and Metabolic Disorders

0.000

RAF weights shown are the community, non-dual, aged base weights from the CMS risk adjustment model file. Actual per-patient RAF contribution depends on member segment, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains in use during the transition and for historical data.

Work E70.30 in the Code Book — tabular path, V28 RAF, and MEAT checklist →

MEAT Criteria for E70.30

For E70.30to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically, it has to be re-documented and supported each calendar year.

MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
EEvaluate: test results, medication response, or physical findings reviewed by the provider
AAssess: explicit mention in the assessment or plan with acknowledgment of status
TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis

Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed E70.30 during that encounter, not just copy-forwarded from a problem list.

Coder workflow notes

Get the V28 RAF + MEAT cheat sheet

One printable page: confirm a code's V28 HCC status, its RAF weight, and the MEAT your note needs to make it stick. Free, no card.

Free PDF. No card. Unsubscribe anytime.

What This Code Means

E70.30 is the ICD-10-CM diagnosis code for albinism, unspecified. A genetic condition where the body produces little to no melanin (pigment), resulting in very light skin, hair, and eyes, but the specific type is not specified. E70.30 sits in the ICD-10-CM chapter for endocrine, nutritional and metabolic diseases (e00-e89), within the section covering metabolic disorders (e70-e88).

Under the older CMS-HCC V24 model, E70.30 maps to Other Significant Endocrine and Metabolic Disorders (HCC 23) with a community, non-dual, aged base RAF weight of 0.230. V28 is the CMS-HCC risk adjustment model that reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition.

Albinism has multiple subtypes; review clinical documentation to determine if ocular or oculocutaneous albinism is present. Because E70.30 maps to a payment HCC, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's Medicare Advantage risk adjustment score. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for E70.30 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

•Albinism has multiple subtypes; review clinical documentation to determine if ocular or oculocutaneous albinism is present
•Document any associated vision problems or skin complications for complete coding

Clinical Significance

Albinism, unspecified, indicates a genetic condition with absent or significantly reduced melanin production, but the specific type (ocular, oculocutaneous, or with hematologic abnormality) has not been determined. Patients face increased risks of skin cancer from ultraviolet exposure, significant visual impairment including nystagmus and photophobia, and social stigmatization, requiring multidisciplinary management including dermatologic surveillance and ophthalmologic care.

Documentation Requirements

✓Documentation should describe the extent of pigment loss (skin only, eyes only, or both), visual acuity findings, nystagmus assessment, and skin examination results.
✓The provider should specify whether this is ocular or oculocutaneous albinism and document any hematologic abnormalities.
✓Genetic testing results and family history should be included.
✓Skin cancer screening frequency and sun protection counseling should be noted.

Commonly Confused Codes

•E70.310-E70.319 (Ocular albinism codes) specify eye-only involvement.
•E70.320-E70.329 (Oculocutaneous albinism codes) specify skin and eye involvement.
•E70.330-E70.339 (Albinism with hematologic abnormality) includes bleeding or immune disorders.
•E70.39 (Other specified albinism) covers other variants.
•L80 (Vitiligo) involves acquired rather than congenital pigment loss.