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E83.824 ICD-10-CM Code: ABCC6 deficiency causing pseudoxanthoma elasticum

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

E83.824

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

ABCC6 deficiency causing pseudoxanthoma elasticum

This is a rare genetic disorder where a defective gene (ABCC6) causes the body to deposit calcium and other minerals in elastic tissues, leading to premature aging of the skin, eyes, and blood vessels. People with this condition develop yellowish bumps on their skin and may experience vision problems and heart complications.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

HCC 28

Varies by metal level

ESRD/PACE

HCC 23

RAF 0.036

RXHCC

HCC 43

RAF 0.063

Code Book Path

Official
E83.8Other disorders of mineral metabolism
E83.82Disorders of pyrophosphate metabolism
E83.824ABCC6 deficiency causing pseudoxanthoma elasticum

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for E83.824 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for E83.824 in this effective period.

Related Child Codes

Official
E83.820Generalized arterial calcification of infancy with unspecified genetic causality
E83.821ENPP1 deficiency causing generalized arterial calcification of infancy
E83.822ENPP1 deficiency causing autosomal recessive hypophosphatemic rickets type 2
E83.823ABCC6 deficiency causing generalized arterial calcification of infancy
E83.825CD73 deficiency causing arterial calcification

Includes

Official

ICD-10-CM does not list Includes notes for E83.824 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for E83.824 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for E83.824 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for E83.824 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for E83.824 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
This code requires documentation of the genetic deficiency (ABCC6) and confirmation of pseudoxanthoma elasticum diagnosis; genetic testing results should be referenced in the medical record
Code E83.824 is specific to ABCC6 deficiency; do not use if the pseudoxanthoma elasticum is due to other causes, and consider coding associated manifestations (skin, ocular, cardiovascular) separately if they are clinically significant

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is E83.824 an HCC code?

E83.824 is not in the CMS-HCC V28 or V24 community payment model, but it does map to Other Significant Endocrine and Metabolic Disorders under the CMS-HCC ESRD model and Other Significant Endocrine and Metabolic Disorders under the Part D RxHCC model.

HCC Category Mapping

ESRDHCC 23, Other Significant Endocrine and Metabolic Disorders
0.036
RxHCCHCC 43, Other Significant Endocrine and Metabolic Disorders
0.063

Each model's RAF is its CMS base weight for that model's standard population, so 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 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.

Work E83.824 in the Code Book — tabular path, V28 RAF, and MEAT checklist →

MEAT Criteria for E83.824

For E83.824to 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 E83.824 during that encounter, not just copy-forwarded from a problem list.

Coder workflow notes

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What This Code Means

E83.824 is the ICD-10-CM diagnosis code for abcc6 deficiency causing pseudoxanthoma elasticum. This is a rare genetic disorder where a defective gene (ABCC6) causes the body to deposit calcium and other minerals in elastic tissues, leading to premature aging of the skin, eyes, and blood vessels. People with this condition develop yellowish bumps on their skin and may experience vision problems and heart complications. E83.824 sits in the ICD-10-CM chapter for endocrine, nutritional and metabolic diseases (e00-e89), within the section covering metabolic disorders (e70-e88).

E83.824 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

This code requires documentation of the genetic deficiency (ABCC6) and confirmation of pseudoxanthoma elasticum diagnosis; genetic testing results should be referenced in the medical record.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for E83.824 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code requires documentation of the genetic deficiency (ABCC6) and confirmation of pseudoxanthoma elasticum diagnosis; genetic testing results should be referenced in the medical record
  • Code E83.824 is specific to ABCC6 deficiency; do not use if the pseudoxanthoma elasticum is due to other causes, and consider coding associated manifestations (skin, ocular, cardiovascular) separately if they are clinically significant

Child Codes

Code Hierarchy

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