E86 ICD-10-CM Code: Volume depletion
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Endocrine, nutritional and metabolic diseases (E00-E89) / Metabolic disorders (E70-E88)
E86
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceVolume 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
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for E86 in this effective period.
Excludes 2
Official- hypovolemic shock NOS (R57.1)
Related Child Codes
Includes
OfficialICD-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
OfficialICD-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
OfficialICD-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
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.-)