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E83.110 ICD-10-CM Code: Hereditary hemochromatosis

E83.110 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools

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

E83.110

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

Hereditary hemochromatosis

A genetic condition where the body absorbs and stores too much iron from food, leading to organ damage over time.

Buddy the Bee presenting code insight

Buddy Insight

Hereditary hemochromatosis is a genetic iron overload disorder that, left untreated, leads to progressive organ damage including cirrhosis, cardiomyopathy, diabetes, and arthropathy.

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

HCC 23

Code-level coefficient reference

RXHCC

HCC 43

Code-level coefficient reference

Code Book Path

Official
E83.1Disorders of iron metabolism
E83.11Hemochromatosis
E83.110Hereditary hemochromatosis

Inclusion Terms

Official
  • Bronzed diabetes
  • Pigmentary cirrhosis (of liver)
  • Primary (hereditary) hemochromatosis

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for E83.110 in this effective period.

Related Child Codes

Official
E83.111Hemochromatosis due to repeated red blood cell transfusions
E83.118Other hemochromatosis
E83.119Hemochromatosis, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for E83.110 in this effective period.

Excludes 1

Official
  • GALD (P78.84)
  • Gestational alloimmune liver disease (P78.84)
  • Neonatal hemochromatosis (P78.84)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for E83.110 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for E83.110 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for E83.110 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Confirmed hereditary/genetic etiology (e.g., HFE gene mutation C282Y or H63D documented)
Serum ferritin and transferrin saturation levels
Current treatment plan (therapeutic phlebotomy schedule or iron chelation)
Documentation of end-organ assessment (liver, heart, pancreas, joints)

MEAT Support

HCC Buddy guidance
Confirmed hereditary/genetic etiology (e.g., HFE gene mutation C282Y or H63D documented)
Serum ferritin and transferrin saturation levels
Current treatment plan (therapeutic phlebotomy schedule or iron chelation)
Documentation of end-organ assessment (liver, heart, pancreas, joints)

Audit Caution

HCC Buddy guidance
Assigning the hereditary code when documentation only states 'hemochromatosis' without specifying hereditary etiology — query the provider
Missing the HCC capture by defaulting to unspecified E83.119 when hereditary type is documented
Failing to link secondary conditions (diabetes, cirrhosis, cardiomyopathy) caused by iron overload as separate reportable diagnoses
Not differentiating between hereditary hemochromatosis and secondary/acquired iron overload from chronic transfusions

Common Mistakes

HCC Buddy guidance
E83.118 — Other hemochromatosis: use when the hemochromatosis is NOT hereditary (e.g., transfusional iron overload)
E83.119 — Hemochromatosis, unspecified: use only when type cannot be determined; less specific and does NOT map to HCC
E83.10 — Disorder of iron metabolism, unspecified: non-specific code that should be avoided when hemochromatosis is documented
E61.1 — Iron deficiency: opposite condition (iron deficiency rather than overload)

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 E83.110 an HCC code?

E83.110 is not in the CMS-HCC V28 or V24 community payment model. E83.110 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.

Code
E83.110
Description
Hereditary hemochromatosis
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
Yes
Payment year
2026

HCC Category Mapping

ESRDHCC 23, Other Significant Endocrine and Metabolic Disorders
Not separately weighted
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 E83.110 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT Criteria for E83.110

For E83.110 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 E83.110 during that encounter, not just copy-forwarded from a problem list.

Coder workflow notes

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What This Code Means

E83.110 is the ICD-10-CM diagnosis code for hereditary hemochromatosis. A genetic condition where the body absorbs and stores too much iron from food, leading to organ damage over time. E83.110 sits in the ICD-10-CM chapter for endocrine, nutritional and metabolic diseases (e00-e89), within the section covering metabolic disorders (e70-e88).

E83.110 has no mapping under the CMS-HCC V28 or V24 community payment models. E83.110 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. Do not assign V28 risk adjustment value from this page; verify the applicable model and payment year before using this code for risk adjustment.

This is the most specific code for hereditary hemochromatosis; use this when the hereditary form is confirmed.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for E83.110 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This is the most specific code for hereditary hemochromatosis; use this when the hereditary form is confirmed
  • Verify documentation specifies 'hereditary' or 'genetic' hemochromatosis before assigning this code

Clinical Significance

Hereditary hemochromatosis is a genetic iron overload disorder that, left untreated, leads to progressive organ damage including cirrhosis, cardiomyopathy, diabetes, and arthropathy. It is a risk-adjustment-relevant condition under CMS-HCC V24 because it reflects ongoing metabolic burden requiring lifelong monitoring and therapeutic phlebotomy.

Documentation Requirements

  • Confirmed hereditary/genetic etiology (e.g., HFE gene mutation C282Y or H63D documented)
  • Serum ferritin and transferrin saturation levels
  • Current treatment plan (therapeutic phlebotomy schedule or iron chelation)
  • Documentation of end-organ assessment (liver, heart, pancreas, joints)
  • Family history supporting hereditary nature

Commonly Confused Codes

  • E83.118: Other hemochromatosis: use when the hemochromatosis is NOT hereditary (e.g., transfusional iron overload)
  • E83.119: Hemochromatosis, unspecified: use only when type cannot be determined; less specific and does NOT map to HCC
  • E83.10: Disorder of iron metabolism, unspecified: non-specific code that should be avoided when hemochromatosis is documented
  • E61.1: Iron deficiency: opposite condition (iron deficiency rather than overload)

Child Codes

Code Hierarchy

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