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ICD-10 Guide
ICD-10 CodesE72.50

E72.50

Billable

Disorder of glycine metabolism, unspecified

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

Code Description

ICD-10 E72.50 is a billable code used to indicate a diagnosis of disorder of glycine metabolism, unspecified.

Key Diagnostic Point:

Disorders of glycine metabolism encompass a range of metabolic conditions characterized by the abnormal metabolism of glycine, an amino acid that plays a crucial role in various physiological processes, including neurotransmission and the synthesis of proteins. Glycine metabolism disorders can arise from enzyme deficiencies that disrupt the normal catabolism or utilization of glycine, leading to an accumulation of this amino acid in the body. Symptoms may vary widely, including neurological manifestations such as seizures, developmental delays, and cognitive impairments. The unspecified nature of this code indicates that the specific type of glycine metabolism disorder has not been clearly defined or diagnosed, which can complicate treatment and management strategies. Genetic factors often play a significant role in these disorders, with many being inherited in an autosomal recessive manner. Diagnosis typically involves biochemical testing to measure glycine levels in blood and urine, alongside genetic testing to identify specific enzyme deficiencies. Management may include dietary modifications, supplementation, and symptomatic treatment, but the lack of specificity in this code can lead to challenges in accurately capturing the patient's condition for treatment and reimbursement purposes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for biochemical and genetic testing for accurate diagnosis
  • Potential overlap with other metabolic disorders
  • Lack of specificity in the code leading to ambiguity

Audit Risk Factors

  • Insufficient documentation of biochemical testing results
  • Lack of clarity in the diagnosis leading to potential miscoding
  • Inadequate linkage between symptoms and the diagnosis
  • Failure to document genetic counseling or testing

Specialty Focus

Medical Specialties

Genetics

Documentation Requirements

Detailed family history, results of genetic testing, and clinical findings.

Common Clinical Scenarios

Patients with a family history of metabolic disorders presenting with neurological symptoms.

Billing Considerations

Ensure that genetic testing results are clearly documented to support the diagnosis.

Pediatrics

Documentation Requirements

Growth and developmental assessments, neurological evaluations, and metabolic screening results.

Common Clinical Scenarios

Infants or children presenting with developmental delays or seizures.

Billing Considerations

Documenting the timeline of symptom onset and any interventions provided.

Coding Guidelines

Inclusion Criteria

Use E72.50 When
  • Coders should refer to the official ICD
  • CM guidelines for coding metabolic disorders, ensuring that all documentation supports the use of E72
  • This includes confirming that the disorder is indeed unspecified and that no more specific diagnosis can be applied

Exclusion Criteria

Do NOT use E72.50 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

81200CPT Code

Genetic testing for glycine metabolism disorders

Clinical Scenario

When a patient is suspected of having a glycine metabolism disorder and genetic testing is performed.

Documentation Requirements

Results of genetic tests and clinical findings must be documented.

Specialty Considerations

Genetic specialists should ensure that family history is included in the documentation.

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, but the use of unspecified codes like E72.50 can lead to challenges in capturing the complexity of patient conditions and may affect reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of metabolic disorders, but the use of unspecified codes like E72.50 can lead to challenges in capturing the complexity of patient conditions and may affect reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 glycine metabolism disorders?

Common symptoms include developmental delays, seizures, hypotonia, and cognitive impairments. Symptoms can vary widely depending on the specific disorder and the age of onset.