E83.00
BillableDisorder of copper metabolism, unspecified
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is E83.00 an HCC code?
Yes. E83.00 maps to Glycogen/Amino-Acid/Other Metabolic Disorders under the CMS-HCC V28 risk adjustment model.
HCC Category Mapping
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.
MEAT Criteria for E83.00
For E83.00 to 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 E83.00 during that encounter — not just copy-forwarded from a problem list.
What This Code Means
E83.00 is the ICD-10-CM diagnosis code for disorder of copper metabolism, unspecified. A metabolic disorder affecting copper levels in the body where the specific type or cause has not been identified. E83.00 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 CMS-HCC V28 risk adjustment model, E83.00 maps to Glycogen/Amino-Acid/Other Metabolic Disorders (HCC 50) with a community, non-dual, aged base RAF weight of 0.289. E83.00 was not retained as a payment HCC under the older V24 model, so V28 introduced or recategorized it during the 2024–2026 phase-in. 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.
This is a non-specific code; attempt to identify the specific copper metabolism disorder before using this code. Because E83.00 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 E83.00 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This is a non-specific code; attempt to identify the specific copper metabolism disorder before using this code
- •Review for Wilson's disease (E83.01) or other specified copper disorders that may be more appropriate
Clinical Significance
Disorder of copper metabolism, unspecified is used when abnormal copper metabolism is confirmed but the specific condition (Wilson disease, Menkes disease) has not been identified. Copper metabolism disorders can cause severe hepatic, neurological, and psychiatric disease, making prompt identification critical for treatment initiation.
Documentation Requirements
- ✓Provider documentation confirming a copper metabolism disorder
- ✓Copper studies: serum ceruloplasmin, serum copper, 24-hour urine copper
- ✓Reason for lack of specificity (evaluation in progress, indeterminate results)
- ✓Hepatic assessment: liver function tests, imaging
- ✓Neurological assessment if symptoms present
- ✓Plan for further diagnostic workup to determine specific copper disorder