E88.2
BillableLipomatosis, not elsewhere classified
HCC Category Mapping
RxHCCHCC 47 — Disorders of Fatty-Acid and Lipid Metabolism
0.000What This Code Means
Lipomatosis is a condition where abnormal fatty tissue growths develop in the body, not caused by obesity. These benign fat deposits can occur in various locations and may cause discomfort or functional problems depending on their size and location.
Coding Tips
- •Verify that the lipomatosis is not related to a more specific condition (such as Madelung's disease or familial lipomatosis) before assigning this 'not elsewhere classified' code
- •Document the anatomical location of the lipomatosis in the medical record, as this information may be relevant for clinical management even though the ICD-10 code itself doesn't require a location specifier
Clinical Significance
Lipomatosis refers to diffuse or infiltrative lipomatous growths that are distinct from simple lipomas. This includes conditions like Dercum disease (adiposis dolorosa), multiple symmetric lipomatosis (Madelung disease), and other diffuse lipomatous conditions causing pain, functional impairment, or disfigurement.
Documentation Requirements
- ✓Specific type of lipomatosis documented (Dercum disease, Madelung disease, pelvic lipomatosis)
- ✓Distribution and extent of lipomatous involvement
- ✓Associated symptoms (pain, functional impairment, compression of structures)
- ✓Imaging findings confirming diffuse lipomatosis rather than isolated lipomas
- ✓Treatment plan (pain management, surgical debulking if applicable)
Commonly Confused Codes
D17.9 — Benign lipomatous neoplasm, unspecified: for isolated lipomas, not diffuse lipomatosisD17.0-D17.7 — Benign lipomatous neoplasm of specific sites: discrete lipomas by locationE88.1 — Lipodystrophy, not elsewhere classified: loss of adipose tissue, opposite of lipomatosisE65 — Localized adiposity: focal fat deposits without the metabolic disorder component
Code Hierarchy
└E88Other and unspecified metabolic disorders└E88.2Lipomatosis, not elsewhere classified
└E88.2Lipomatosis, not elsewhere classified