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E70.39 ICD-10-CM Code: Other specified albinism

E70.39 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools

ICD-10-CM Code View

HCC Buddy Code Card

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Code lookupE70.39

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

E70.39

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

Other specified albinism

Other forms of albinism not classified elsewhere, including rare types of reduced skin and hair pigmentation.

Buddy the Bee presenting code insight

Buddy Insight

Other specified albinism captures albinism variants that do not fit into the standard categories of ocular, oculocutaneous, or albinism with hematologic abnormality.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

HCC 43

Code-level coefficient reference

Inclusion Terms

Official
  • Piebaldism

Excludes 2

Official
  • Ehlers-Danlos syndromes (Q79.6-)Inherited from E70-E88

Includes

Official

No Includes notes are included in this display for E70.39. Check the code and parent instructions in the Code Book.

Excludes 1

Official
  • transitory endocrine and metabolic disorders specific to newborn (P70-P74)Inherited from E00-E89, E70-E88
  • androgen insensitivity syndrome (E34.5-)Inherited from E00-E89, E70-E88
  • congenital adrenal hyperplasia (E25.0)Inherited from E00-E89, E70-E88
  • hemolytic anemias attributable to enzyme disorders (D55.-)Inherited from E00-E89, E70-E88
  • Marfan syndrome (Q87.4-)Inherited from E00-E89, E70-E88
  • 5-alpha-reductase deficiency (E29.1)Inherited from E00-E89, E70-E88

Code First

Official

No Code First sequencing instructions are included in this display for E70.39. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for E70.39. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for E70.39. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Documentation should describe the specific albinism features present, which body systems are affected, genetic testing results if available, and the rationale for why standard albinism categories do not apply.
Visual acuity, skin examination, and any unusual clinical features should be detailed.
Family history and inheritance pattern should be documented to guide genetic counseling.

MEAT Support

HCC Buddy guidance
Documentation should describe the specific albinism features present, which body systems are affected, genetic testing results if available, and the rationale for why standard albinism categories do not apply.
Visual acuity, skin examination, and any unusual clinical features should be detailed.
Family history and inheritance pattern should be documented to guide genetic counseling.

Audit Caution

HCC Buddy guidance
Do not use this code when a more specific albinism subtype code is available.
This code requires that the albinism be specified enough to not qualify as unspecified but does not fit standard categories.
Ensure the condition is truly genetic albinism rather than an acquired pigmentation disorder.
Code all complications separately for comprehensive documentation.

Common Mistakes

HCC Buddy guidance
E70.310-E70.319 (Ocular albinism), E70.320-E70.329 (Oculocutaneous albinism), and E70.330-E70.339 (Albinism with hematologic abnormality) should be considered before using this code.
E70.30 (Albinism, unspecified) is less specific.
L80 (Vitiligo) and L81.x (Other disorders of pigmentation) describe acquired conditions rather than congenital albinism.

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 →

Is E70.39 an HCC code?

E70.39 is not in the CMS-HCC V28 or V24 community payment model. E70.39 has a separate mapping under the CMS-HCC ESRD model (HCC 23 (Other Significant Endocrine and Metabolic Disorders)) and the Part D RxHCC model (HCC 43 (Pituitary, Adrenal Gland, and Other Endocrine and Metabolic Disorders)); the applicable result needs member context. E70.39 also appears in the HHS-HCC commercial risk model (HCC 028 (HHS-HCC 028 child, RAF varies by metal level)), where the result depends on member context and is not a Medicare Advantage payment mapping.

Code
E70.39
Description
Other specified albinism
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
Yes
Payment year
2026

HCC Category Mapping

RxHCCHCC 43, Pituitary, Adrenal Gland, and Other Endocrine and Metabolic Disorders
Not separately weighted

These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.

Work E70.39 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for E70.39

For E70.39, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

  • 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

Coder workflow notes

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What This Code Means

E70.39 is the ICD-10-CM diagnosis code for other specified albinism. Other forms of albinism not classified elsewhere, including rare types of reduced skin and hair pigmentation. E70.39 sits in the ICD-10-CM chapter for endocrine, nutritional and metabolic diseases (e00-e89), within the section covering metabolic disorders (e70-e88).

E70.39 has no mapping under the CMS-HCC V28 or V24 community payment models. E70.39 has a separate mapping under the CMS-HCC ESRD model (HCC 23 (Other Significant Endocrine and Metabolic Disorders)) and the Part D RxHCC model (HCC 43 (Pituitary, Adrenal Gland, and Other Endocrine and Metabolic Disorders)); the applicable result needs member context. E70.39 also appears in the HHS-HCC commercial risk model (HCC 028 (HHS-HCC 028 child, RAF varies by metal level)), where the result depends on member context and is not a Medicare Advantage payment mapping. Do not assign V28 risk adjustment value from this page; verify the applicable model and payment year before using this code for risk adjustment.

Use this code for albinism variants that don't fit into other specific categories (oculocutaneous, ocular, or with hematologic abnormality).

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for E70.39 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code for albinism variants that don't fit into other specific categories (oculocutaneous, ocular, or with hematologic abnormality)
  • Document the specific type of albinism when possible to ensure accurate coding and appropriate clinical management

Clinical Significance

Other specified albinism captures albinism variants that do not fit into the standard categories of ocular, oculocutaneous, or albinism with hematologic abnormality. This may include partial albinism syndromes, piebald-like conditions with genetic overlap to true albinism, or newly described genetic subtypes. These conditions still carry risks of photosensitivity and visual impairment requiring clinical management.

Documentation Requirements

  • Documentation should describe the specific albinism features present, which body systems are affected, genetic testing results if available, and the rationale for why standard albinism categories do not apply.
  • Visual acuity, skin examination, and any unusual clinical features should be detailed.
  • Family history and inheritance pattern should be documented to guide genetic counseling.

Commonly Confused Codes

  • E70.310-E70.319 (Ocular albinism), E70.320-E70.329 (Oculocutaneous albinism), and E70.330-E70.339 (Albinism with hematologic abnormality) should be considered before using this code.
  • E70.30 (Albinism, unspecified) is less specific.
  • L80 (Vitiligo) and L81.x (Other disorders of pigmentation) describe acquired conditions rather than congenital albinism.

Child Codes

Code Hierarchy

Work E70.39 in HCC Buddy

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