E74.9
BillableDisorder of carbohydrate metabolism, unspecified
HCC Category Mapping
V24HCC 23 — Other Significant Endocrine and Metabolic Disorders
0.230ESRDHCC 23 — Other Significant Endocrine and Metabolic Disorders
0.000RxHCCHCC 43 — Other Significant Endocrine and Metabolic Disorders
0.000What This Code Means
A general metabolic disorder affecting carbohydrate processing in the body, but the specific type of carbohydrate metabolism problem has not been identified.
Coding Tips
- •This is a non-specific code; make every effort to obtain additional diagnostic information for specificity
- •Query the provider for test results or clinical findings that would allow assignment of a more specific code
Clinical Significance
Disorder of carbohydrate metabolism, unspecified, is the least specific code in the carbohydrate metabolism category and should be a last resort. Using this code indicates that the provider has diagnosed a carbohydrate metabolism problem but has not identified the specific disorder. It should always trigger a provider query for more specific diagnostic information to support accurate coding and care planning.
Documentation Requirements
- ✓Provider statement of a carbohydrate metabolism disorder
- ✓Abnormal laboratory results suggesting carbohydrate processing dysfunction
- ✓Documentation of why a more specific diagnosis has not been established
- ✓Clinical symptoms or findings prompting the diagnosis
- ✓Plan for additional diagnostic evaluation
Commonly Confused Codes
E74.89 — Other specified disorders of carbohydrate metabolism: use when a specific disorder is documented but lacks its own codeE88.9 — Metabolic disorder, unspecified: even more non-specific; E74.9 is preferred when carbohydrate metabolism is implicatedE11.9 — Type 2 diabetes mellitus without complications: diabetes is classified separately from E74 disordersE74.00 — Glycogen storage disease, unspecified: more specific within the carbohydrate category
Code Hierarchy
└E74Other disorders of carbohydrate metabolism└E74.9Disorder of carbohydrate metabolism, unspecified
└E74.9Disorder of carbohydrate metabolism, unspecified