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E83.119 ICD-10-CM Code: Hemochromatosis, unspecified

E83.119 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools

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Code lookupE83.119

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

E83.119

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

Hemochromatosis, unspecified

Iron overload in the body when the specific type or cause is not documented or determined.

Buddy the Bee presenting code insight

Buddy Insight

Hemochromatosis, unspecified is used when iron overload is confirmed but the specific type (hereditary vs.

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

No inclusion terms are included in this display for E83.119. Check the code and parent instructions in the Code Book.

Excludes 2

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

Includes

Official

No Includes notes are included in this display for E83.119. 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, E83, E83.1, E83.11
  • androgen insensitivity syndrome (E34.5-)Inherited from E00-E89, E70-E88, E83, E83.1, E83.11
  • congenital adrenal hyperplasia (E25.0)Inherited from E00-E89, E70-E88, E83, E83.1, E83.11
  • hemolytic anemias attributable to enzyme disorders (D55.-)Inherited from E00-E89, E70-E88, E83, E83.1, E83.11
  • Marfan syndrome (Q87.4-)Inherited from E00-E89, E70-E88, E83, E83.1, E83.11
  • 5-alpha-reductase deficiency (E29.1)Inherited from E00-E89, E70-E88, E83, E83.1, E83.11
  • dietary mineral deficiency (E58-E61)Inherited from E00-E89, E70-E88, E83, E83.1, E83.11
  • parathyroid disorders (E20-E21)Inherited from E00-E89, E70-E88, E83, E83.1, E83.11
  • vitamin D deficiency (E55.-)Inherited from E00-E89, E70-E88, E83, E83.1, E83.11
  • iron deficiency anemia (D50.-)Inherited from E00-E89, E70-E88, E83, E83.1, E83.11
  • sideroblastic anemia (D64.0-D64.3)Inherited from E00-E89, E70-E88, E83, E83.1, E83.11
  • GALD (P78.84)Inherited from E00-E89, E70-E88, E83, E83.1, E83.11
  • Gestational alloimmune liver disease (P78.84)Inherited from E00-E89, E70-E88, E83, E83.1, E83.11
  • Neonatal hemochromatosis (P78.84)Inherited from E00-E89, E70-E88, E83, E83.1, E83.11

Code First

Official

No Code First sequencing instructions are included in this display for E83.119. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for E83.119. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for E83.119. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Diagnosis of hemochromatosis by the treating provider
Laboratory evidence of iron overload (elevated ferritin, transferrin saturation)
Reason the type cannot be specified (pending genetic testing, new diagnosis workup)
Treatment plan or referral for further evaluation

MEAT Support

HCC Buddy guidance
Diagnosis of hemochromatosis by the treating provider
Laboratory evidence of iron overload (elevated ferritin, transferrin saturation)
Reason the type cannot be specified (pending genetic testing, new diagnosis workup)
Treatment plan or referral for further evaluation

Audit Caution

HCC Buddy guidance
Accepting the unspecified code when documentation actually supports hereditary type — always review for genetic testing results or family history
Missing HCC capture opportunity by not querying provider to specify hereditary vs. other type
Using this code when 'elevated ferritin' or 'iron overload' is documented without a formal hemochromatosis diagnosis
Not recognizing that clarification between hereditary and other forms directly impacts risk adjustment

Common Mistakes

HCC Buddy guidance
E83.110 — Hereditary hemochromatosis: preferred code when hereditary type is confirmed; carries HCC mapping
E83.118 — Other hemochromatosis: use when secondary or non-hereditary type is specified
E83.10 — Disorder of iron metabolism, unspecified: even less specific; avoid if hemochromatosis is documented
R79.89 — Other specified abnormal findings of blood chemistry: do not use for elevated ferritin when hemochromatosis is diagnosed

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 E83.119 an HCC code?

E83.119 is not in the CMS-HCC V28 or V24 community payment model. E83.119 has a separate mapping under the Part D RxHCC model (HCC 43 (Pituitary, Adrenal Gland, and Other Endocrine and Metabolic Disorders)); the applicable result needs member context.

Code
E83.119
Description
Hemochromatosis, unspecified
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 E83.119 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for E83.119

For E83.119, 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

E83.119 is the ICD-10-CM diagnosis code for hemochromatosis, unspecified. Iron overload in the body when the specific type or cause is not documented or determined. E83.119 sits in the ICD-10-CM chapter for endocrine, nutritional and metabolic diseases (e00-e89), within the section covering metabolic disorders (e70-e88).

E83.119 has no mapping under the CMS-HCC V28 or V24 community payment models. E83.119 has a separate mapping under 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 a less specific code; query the provider if the type of hemochromatosis can be determined.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for E83.119 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This is a less specific code; query the provider if the type of hemochromatosis can be determined
  • Use only when documentation does not specify hereditary or secondary causes

Clinical Significance

Hemochromatosis, unspecified is used when iron overload is confirmed but the specific type (hereditary vs. acquired) has not been determined. This code should prompt a query to the provider for clarification, as hereditary hemochromatosis maps to an HCC while this unspecified code does not.

Documentation Requirements

  • Diagnosis of hemochromatosis by the treating provider
  • Laboratory evidence of iron overload (elevated ferritin, transferrin saturation)
  • Reason the type cannot be specified (pending genetic testing, new diagnosis workup)
  • Treatment plan or referral for further evaluation
  • Query attempt to provider for hereditary vs. acquired specification

Commonly Confused Codes

  • E83.110: Hereditary hemochromatosis: preferred code when hereditary type is confirmed; carries HCC mapping
  • E83.118: Other hemochromatosis: use when secondary or non-hereditary type is specified
  • E83.10: Disorder of iron metabolism, unspecified: even less specific; avoid if hemochromatosis is documented
  • R79.89: Other specified abnormal findings of blood chemistry: do not use for elevated ferritin when hemochromatosis is diagnosed

Child Codes

Code Hierarchy

Work E83.119 in HCC Buddy

Open E83.119 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 7 days to try everything, no card required.