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E86 ICD-10-CM Code: Volume depletion

ICD-10-CM Code View

HCC Buddy Code Card

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

E86

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Volume depletion

Volume depletion

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
E8Metabolic disorders (E70-E88)
E86Volume depletion

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for E86 in this effective period.

Excludes 2

Official
  • hypovolemic shock NOS (R57.1)

Related Child Codes

Official
E86.0Dehydration
E86.1Hypovolemia
E86.9Volume depletion, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for E86 in this effective period.

Excludes 1

Official
  • dehydration of newborn (P74.1)
  • postprocedural hypovolemic shock (T81.19)
  • traumatic hypovolemic shock (T79.4)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for E86 in this effective period.

Use Additional

Official
  • code(s) for any associated disorders of electrolyte and acid-base balance (E87.-)

Code Also

Official

ICD-10-CM does not list Code Also instructions for E86 in this effective period.

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.

Coder workflow notes

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What This Code Means

E86 is the ICD-10-CM diagnosis code for volume depletion. E86 sits in the ICD-10-CM chapter for endocrine, nutritional and metabolic diseases (e00-e89), within the section covering metabolic disorders (e70-e88).

Header codes like E86 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at E86's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for E86 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • dehydration of newborn (P74.1)
  • postprocedural hypovolemic shock (T81.19)
  • traumatic hypovolemic shock (T79.4)

Excludes 2, Not included here, may code separately

  • hypovolemic shock NOS (R57.1)

Use Additional Code

  • code(s) for any associated disorders of electrolyte and acid-base balance (E87.-)

Child Codes

Code Hierarchy

E86Volume depletion
E86Volume depletion

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