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ICD-10 Guide
ICD-10 CodesE72.19

E72.19

Billable

Other disorders of sulfur-bearing amino-acid metabolism

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

Code Description

ICD-10 E72.19 is a billable code used to indicate a diagnosis of other disorders of sulfur-bearing amino-acid metabolism.

Key Diagnostic Point:

E72.19 encompasses a variety of metabolic disorders related to the metabolism of sulfur-bearing amino acids, primarily cysteine and methionine. These disorders can arise from genetic enzyme deficiencies that disrupt normal metabolic pathways, leading to an accumulation of toxic metabolites or a deficiency of essential compounds. Conditions such as cystathionine beta-synthase deficiency, which leads to homocystinuria, and other less common disorders fall under this category. Symptoms may vary widely, including developmental delays, neurological deficits, and cardiovascular complications. Diagnosis typically involves biochemical testing to measure amino acid levels in plasma and urine, alongside genetic testing to identify specific enzyme deficiencies. Management often requires dietary modifications, supplementation, and in some cases, pharmacological interventions to mitigate symptoms and prevent complications. Understanding these disorders is crucial for timely diagnosis and treatment, as they can significantly impact quality of life and long-term health outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying genetic conditions
  • Need for biochemical testing for accurate diagnosis
  • Potential overlap with other metabolic disorders
  • Variability in clinical presentation

Audit Risk Factors

  • Inadequate documentation of enzyme deficiencies
  • Failure to specify the exact disorder
  • Lack of supporting lab results
  • Misclassification with other amino acid disorders

Specialty Focus

Medical Specialties

Genetics

Documentation Requirements

Detailed family history and genetic testing results

Common Clinical Scenarios

Patients with a family history of metabolic disorders presenting with developmental delays or unusual symptoms.

Billing Considerations

Ensure genetic counseling notes are included to support diagnosis.

Pediatrics

Documentation Requirements

Growth charts, developmental assessments, and metabolic screening results

Common Clinical Scenarios

Infants or children presenting with failure to thrive or neurological symptoms.

Billing Considerations

Document any dietary interventions or referrals to specialists.

Coding Guidelines

Inclusion Criteria

Use E72.19 When
  • Follow ICD
  • CM guidelines for coding metabolic disorders, ensuring specificity in documentation
  • Include any relevant lab results and genetic testing to support the diagnosis

Exclusion Criteria

Do NOT use E72.19 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

81220CPT Code

Cystathionine beta-synthase gene analysis

Clinical Scenario

Used when a patient is suspected of having a disorder related to sulfur-bearing amino acids.

Documentation Requirements

Genetic testing results and clinical notes supporting the need for testing.

Specialty Considerations

Genetic specialists should ensure comprehensive family history is documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of metabolic disorders, improving the ability to track and manage these conditions effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of metabolic disorders, improving the ability to track and manage these conditions effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of metabolic disorders, improving the ability to track and manage these conditions effectively.

Resources

Clinical References

  • •
    Genetic Metabolic Disorders

Coding & Billing References

  • •
    Genetic Metabolic Disorders

Frequently Asked Questions

What are sulfur-bearing amino acids?

Sulfur-bearing amino acids include cysteine and methionine, which are essential for various metabolic processes in the body.

How are disorders of sulfur-bearing amino acid metabolism diagnosed?

Diagnosis typically involves biochemical testing to measure amino acid levels and genetic testing to identify specific enzyme deficiencies.