Metabolic syndrome and other insulin resistance

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

Billable FY2016 to FY2023, and a category header from FY2024.

Submit one of these 4 more specific codes instead:

E88.810 Metabolic syndrome
E88.811 Insulin resistance syndrome, Type A
E88.818 Other insulin resistance
E88.819 Insulin resistance, unspecified

What has happened to this code

Every change the publisher made, from 2007 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

FY2007 Added to the draft code set draft Metabolic syndrome
FY2024 Description revised ~~Metabolic syndrome~~ Metabolic syndrome and other insulin resistance
FY2024 Stopped being billable

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from E88 Other and unspecified metabolic disorders

Excludes1 - never coded here

histiocytosis X (chronic) (C96.6)

Use additional code

codes for associated conditions

Inherited from the E70-E88 section Metabolic disorders (E70-E88)

Excludes1 - never coded here

androgen insensitivity syndrome (E34.5-)
congenital adrenal hyperplasia (E25.0)
hemolytic anemias attributable to enzyme disorders (D55.-)
Marfan syndrome (Q87.4-)
5-alpha-reductase deficiency (E29.1)

Excludes2 - not included here

Ehlers-Danlos syndromes (Q79.6-)

Codes in the same group

Code	Description	Status
E88.82	Obesity due to disruption of MC4R pathway	Valid
E88.89	Other specified metabolic disorders	Valid