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E76.29

Billable

Other mucopolysaccharidoses

HCC Category Mapping

V28HCC 49Lysosomal Storage Disorders
0.226
V24HCC 23Other Significant Endocrine and Metabolic Disorders
0.230
ESRDHCC 23Other Significant Endocrine and Metabolic Disorders
0.000
RxHCCHCC 41Lysosomal Storage Disorders
0.000

What This Code Means

Other mucopolysaccharidoses include rare inherited metabolic disorders such as Sly syndrome and Maroteaux-Lamy syndrome, where the body cannot properly break down complex sugars.

Coding Tips

  • Use this code for MPS types IV (other than Morquio), VI, VII, and IX when specifically documented
  • Clearly document which specific mucopolysaccharidosis type is being coded to ensure accurate classification

Clinical Significance

Other mucopolysaccharidoses captures MPS types that do not have individual ICD-10-CM codes, including MPS VI (Maroteaux-Lamy), MPS VII (Sly syndrome), and MPS IX (Natowicz syndrome). These are rare but clinically significant lysosomal storage disorders requiring enzyme replacement therapy and multisystem monitoring.

Documentation Requirements

  • Specific MPS type documented (e.g., Maroteaux-Lamy/MPS VI, Sly syndrome/MPS VII, Natowicz/MPS IX)
  • Confirmatory enzyme assay or genetic testing identifying the specific enzyme deficiency
  • Current disease manifestations by organ system
  • Treatment status: enzyme replacement therapy (galsulfase for MPS VI), supportive interventions
  • Provider statement confirming this is a mucopolysaccharidosis type other than I, II, III, or IV

Commonly Confused Codes

Code Hierarchy

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