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E87 ICD-10-CM Code: Other disorders of fluid, electrolyte and acid-base balance

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

E87

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

Other disorders of fluid, electrolyte and acid-base balance

Other disorders of fluid, electrolyte and acid-base balance

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
E8Metabolic disorders (E70-E88)
E87Other disorders of fluid, electrolyte and acid-base balance

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for E87 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for E87 in this effective period.

Related Child Codes

Official
E87.0Hyperosmolality and hypernatremia
E87.1Hypo-osmolality and hyponatremia
E87.2Acidosis
E87.3Alkalosis
E87.4Mixed disorder of acid-base balance

Includes

Official

ICD-10-CM does not list Includes notes for E87 in this effective period.

Excludes 1

Official
  • diabetes insipidus (E23.2)
  • electrolyte imbalance associated with hyperemesis gravidarum (O21.1)
  • electrolyte imbalance following ectopic or molar pregnancy (O08.5)
  • familial periodic paralysis (G72.3)
  • metabolic acidemia in newborn, unspecified (P19.9)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for E87 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for E87 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for E87 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.

What This Code Means

E87 is the ICD-10-CM diagnosis code for other disorders of fluid, electrolyte and acid-base balance. E87 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 E87 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 E87'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 E87 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • diabetes insipidus (E23.2)
  • electrolyte imbalance associated with hyperemesis gravidarum (O21.1)
  • electrolyte imbalance following ectopic or molar pregnancy (O08.5)
  • familial periodic paralysis (G72.3)
  • metabolic acidemia in newborn, unspecified (P19.9)

Child Codes

Code Hierarchy

E87Other disorders of fluid, electrolyte and acid-base balance
E87Other disorders of fluid, electrolyte and acid-base balance

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