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E88.810

Billable

Metabolic syndrome

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Metabolic syndrome is a cluster of conditions including high blood pressure, high blood sugar, excess body fat, and abnormal cholesterol levels that increase the risk of heart disease and diabetes.

Coding Tips

  • •When metabolic syndrome is diagnosed, code the individual components (hypertension, diabetes, obesity, dyslipidemia) in addition to E88.810
  • •This code represents the syndrome as a whole; ensure all qualifying criteria are documented in the medical record

Code Hierarchy

└E88Other and unspecified metabolic disorders└E88.8Other specified metabolic disorders└E88.81Metabolic syndrome and other insulin resistance└E88.810Metabolic syndrome
└E88.810Metabolic syndrome

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