E88.0 ICD-10-CM Code: Disorders of plasma-protein metabolism, not elsewhere classified
HCC Buddy Code Card
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FY 2026 Apr update / Endocrine, nutritional and metabolic diseases (E00-E89) / Metabolic disorders (E70-E88)
E88.0
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceDisorders of plasma-protein metabolism, not elsewhere classified
Disorders of plasma-protein metabolism, not elsewhere classified
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for E88.0 in this effective period.
Excludes 2
Official- disorder of lipoprotein metabolism (E78.-)
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for E88.0 in this effective period.
Excludes 1
Official- monoclonal gammopathy (of undetermined significance) (D47.2)
- polyclonal hypergammaglobulinemia (D89.0)
- Waldenström macroglobulinemia (C88.00)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for E88.0 in this effective period.
Use Additional
Official- codes for associated conditions
Code Also
OfficialICD-10-CM does not list Code Also instructions for E88.0 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
E88.0 is the ICD-10-CM diagnosis code for disorders of plasma-protein metabolism, not elsewhere classified. E88.0 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 E88.0 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 E88.0'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 E88.0 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
- disorder of lipoprotein metabolism (E78.-)