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ICD-10 Guide
ICD-10 CodesE71.548

E71.548

Billable

Other peroxisomal disorders

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

Code Description

ICD-10 E71.548 is a billable code used to indicate a diagnosis of other peroxisomal disorders.

Key Diagnostic Point:

Peroxisomal disorders are a group of inherited metabolic conditions caused by defects in the peroxisomes, which are cellular organelles responsible for various metabolic processes, including the breakdown of fatty acids and the detoxification of hydrogen peroxide. E71.548 encompasses a range of conditions that do not fall under more specific peroxisomal disorders, such as Zellweger syndrome or X-linked adrenoleukodystrophy. These disorders can lead to a variety of clinical manifestations, including neurological deficits, liver dysfunction, and developmental delays. The underlying enzyme deficiencies can affect the metabolism of very long-chain fatty acids, leading to their accumulation in tissues, which can cause significant damage. Diagnosis often involves biochemical testing, genetic testing, and imaging studies to assess the extent of organ involvement. Management is typically supportive and may include dietary modifications, supplementation, and symptomatic treatment. Given the complexity of these disorders, a multidisciplinary approach is often required for optimal patient care.

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
  • Potential for overlapping symptoms with other conditions

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the exact peroxisomal disorder
  • Lack of supporting lab results or genetic testing
  • Misclassification of symptoms or 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, neurological symptoms, or metabolic crises.

Billing Considerations

Ensure accurate documentation of genetic counseling and testing results.

Pediatrics

Documentation Requirements

Growth charts, developmental assessments, and metabolic screening results.

Common Clinical Scenarios

Infants with unexplained neurological symptoms or metabolic disorders.

Billing Considerations

Documenting the timeline of symptom onset and progression is crucial.

Coding Guidelines

Inclusion Criteria

Use E71.548 When
  • According to ICD
  • 10 guidelines, E71
  • 548 should be used when a patient has a peroxisomal disorder that does not fit into more specific categories
  • Coders must ensure that all relevant clinical information is documented to support the use of this code

Exclusion Criteria

Do NOT use E71.548 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

Documentation of clinical indications for testing and results.

Specialty Considerations

Genetic counseling may be necessary for families.

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 treatment plans. E71.548 provides a broader category for conditions that do not fit into more defined classifications, enhancing the ability to capture the complexity of these disorders.

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 treatment plans. E71.548 provides a broader category for conditions that do not fit into more defined classifications, enhancing the ability to capture the complexity of these disorders.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of peroxisomal disorders, improving the accuracy of diagnoses and treatment plans. E71.548 provides a broader category for conditions that do not fit into more defined classifications, enhancing the ability to capture the complexity of these disorders.

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, neurological deficits, liver dysfunction, and metabolic crises. Symptoms can vary widely depending on the specific disorder.

How is a peroxisomal disorder diagnosed?

Diagnosis typically involves biochemical testing, genetic testing, and imaging studies to assess organ involvement and confirm the specific disorder.