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Home/Diagnosis/ICD-10 Coding for Metabolic Syndrome

ICD-10 Coding for Metabolic Syndrome

E88.810

Complete ICD-10-CM coding and documentation guide for icd-10 coding for metabolic syndrome includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Syndrome X
Insulin Resistance Syndrome
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Key Information: ICD-10 Coding for Metabolic Syndrome

Essential facts and insights about ICD-10 Coding for Metabolic Syndrome

Use ICD-10 code E88.810 for metabolic syndrome, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Metabolic syndrome

Billable Code
E88.810
Billable

Diagnostic Criteria

clinical:
  • • Patient meets at least three ATP III criteria.
coding:
  • • Use E88.810 as primary when metabolic syndrome is the focus of treatment.

Applicable To

  • • Syndrome X
  • • Insulin resistance syndrome

Important Notes

  • • Ensure documentation explicitly links metabolic syndrome to its manifestations.
Ancillary Codes

Additional codes that may be used with this diagnosis

E66.01

Morbid obesity

Use when BMI is ≥40 and is contributing to metabolic dysfunction.

I10

Essential hypertension

Use when blood pressure is ≥130/85 mmHg on two or more readings.

Frequently Asked Questions

What is the ICD-10 code for metabolic syndrome?

The ICD-10 code for metabolic syndrome is E88.810, which is used when a patient meets at least three of the ATP III criteria.

How do you document metabolic syndrome?

Document metabolic syndrome by including specific measurements such as waist circumference, blood pressure, fasting glucose, triglycerides, and HDL cholesterol levels.

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