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v1.0.0
ICD-10 Guide
ICD-10 CodesE71.542

E71.542

Billable

Other group 3 peroxisomal disorders

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 E71.542 is a billable code used to indicate a diagnosis of other group 3 peroxisomal disorders.

Key Diagnostic Point:

Other group 3 peroxisomal disorders encompass a range of rare genetic metabolic conditions characterized by defects in peroxisome biogenesis or function. These disorders can lead to a variety of clinical manifestations, including neurological impairment, developmental delays, and metabolic dysfunctions. Commonly associated conditions include X-linked adrenoleukodystrophy, Zellweger syndrome, and infantile Refsum disease. Patients may exhibit symptoms such as hypotonia, seizures, vision and hearing loss, and liver dysfunction. Diagnosis typically involves biochemical testing to assess enzyme activity, imaging studies, and genetic testing to identify specific mutations. Management is often multidisciplinary, focusing on symptomatic treatment and supportive care, as there is currently no cure for these disorders. Early diagnosis and intervention can significantly improve quality of life and outcomes for affected individuals.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variety of clinical presentations and symptoms
  • Need for genetic testing and biochemical analysis
  • Differentiation from other metabolic disorders
  • Multidisciplinary management approach

Audit Risk Factors

  • Inadequate documentation of genetic testing results
  • Failure to specify the exact peroxisomal disorder
  • Lack of comprehensive clinical history
  • Misclassification of symptoms related to other conditions

Specialty Focus

Medical Specialties

Genetics

Documentation Requirements

Detailed family history, genetic test results, and clinical findings.

Common Clinical Scenarios

Patients presenting with developmental delays, seizures, or metabolic crises.

Billing Considerations

Ensure accurate coding based on specific genetic mutations identified.

Pediatrics

Documentation Requirements

Growth and developmental assessments, laboratory results, and referral notes.

Common Clinical Scenarios

Infants or children with unexplained neurological symptoms or metabolic disorders.

Billing Considerations

Documenting the timeline of symptom onset and progression is crucial.

Coding Guidelines

Inclusion Criteria

Use E71.542 When
  • Follow ICD
  • CM guidelines for coding metabolic disorders, ensuring specificity in documentation
  • Include any relevant laboratory findings and genetic testing results to support the diagnosis

Exclusion Criteria

Do NOT use E71.542 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

81200CPT Code

Genetic testing for peroxisomal disorders

Clinical Scenario

Used when genetic testing is performed to confirm a diagnosis of a peroxisomal disorder.

Documentation Requirements

Document the reason for testing and the specific disorder being investigated.

Specialty Considerations

Genetic specialists should ensure that the testing aligns with clinical findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of peroxisomal disorders, improving the accuracy of diagnoses and facilitating better patient management through detailed documentation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of peroxisomal disorders, improving the accuracy of diagnoses and facilitating better patient management through detailed documentation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of peroxisomal disorders, improving the accuracy of diagnoses and facilitating better patient management through detailed documentation.

Resources

Clinical References

  • •
    National Organization for Rare Disorders (NORD)

Coding & Billing References

  • •
    National Organization for Rare Disorders (NORD)

Frequently Asked Questions

What are the common symptoms of peroxisomal disorders?

Common symptoms include developmental delays, seizures, hypotonia, vision and hearing loss, and liver dysfunction. The specific symptoms can vary widely depending on the type of peroxisomal disorder.