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ICD-10 Guide
ICD-10 CodesChapter 4: Endocrine, nutritional and metabolic diseasesE72

E72

Billable

Other disorders of amino-acid metabolism

Chapter 4:Endocrine, nutritional and metabolic diseases

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

Code Description

ICD-10 E72 is a billable code used to indicate a diagnosis of other disorders of amino-acid metabolism.

Key Diagnostic Point:

E72 encompasses a variety of metabolic disorders characterized by abnormalities in amino acid metabolism. These disorders can arise from genetic enzyme deficiencies that disrupt the normal breakdown or synthesis of amino acids, leading to toxic accumulation or deficiency of essential amino acids. Common conditions under this code include phenylketonuria (PKU), maple syrup urine disease (MSUD), and homocystinuria, among others. Symptoms can vary widely, from neurological deficits and developmental delays to metabolic crises and organ dysfunction. Diagnosis typically involves biochemical testing to measure amino acid levels in blood and urine, alongside genetic testing to identify specific enzyme deficiencies. Management often requires dietary modifications, supplementation, and in some cases, pharmacological interventions to mitigate the effects of the disorder. Early detection and intervention are crucial to prevent severe complications and improve quality of life for affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying genetic conditions
  • Need for biochemical testing for accurate diagnosis
  • Potential for overlapping symptoms with other metabolic disorders
  • Variability in treatment protocols based on specific amino acid disorders

Audit Risk Factors

  • Inadequate documentation of biochemical test results
  • Failure to specify the type of amino acid disorder
  • Lack of evidence for dietary management plans
  • Misclassification of symptoms related to other metabolic disorders

Specialty Focus

Medical Specialties

Genetics

Documentation Requirements

Detailed family history and genetic testing results.

Common Clinical Scenarios

Evaluation of patients with suspected hereditary metabolic disorders.

Billing Considerations

Ensure accurate coding based on genetic findings and clinical manifestations.

Pediatrics

Documentation Requirements

Growth charts, developmental assessments, and dietary logs.

Common Clinical Scenarios

Management of infants with metabolic crises or developmental delays.

Billing Considerations

Monitor for changes in dietary needs as the child grows.

Coding Guidelines

Inclusion Criteria

Use E72 When
  • Follow official ICD
  • CM guidelines for coding metabolic disorders, ensuring specificity in documentation regarding the type of amino acid disorder and any associated complications
  • Include relevant laboratory findings and treatment plans

Exclusion Criteria

Do NOT use E72 When
No specific exclusions found.

Related CPT Codes

83088CPT Code

Amino acid analysis

Clinical Scenario

Used for diagnosing amino acid metabolism disorders.

Documentation Requirements

Include lab results and clinical indications for testing.

Specialty Considerations

Geneticists and metabolic specialists should ensure comprehensive documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of amino acid metabolism disorders, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of amino acid metabolism disorders, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of amino acid metabolism disorders, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

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 amino acid metabolism disorders?

Symptoms can vary widely but may include developmental delays, neurological deficits, metabolic crises, and organ dysfunction, depending on the specific disorder.