E72.538 — Other specified primary hyperoxaluria
Is E72.538 billable?
Yes, but E72.538 is an unspecified code. E72.538 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, E72.538 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting E72.538 — the more specific alternatives are listed below.
More specific alternatives
E72.538 at a glance
| Code | E72.538 |
|---|---|
| Description | Other specified primary hyperoxaluria |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does E72.538 group to?
E72.538 sits in MDC 10 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 642Inborn and Other Disorders of Metabolismmedical
As a secondary diagnosis, E72.538 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is E72.538 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to E72.538. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Disorder › glycine metabolism › hyperoxaluria › primary › specified type NEC (of)
- Disorder › glycine metabolism › hyperoxaluria › primary › type 2 (of)
- Disorder › glycine metabolism › hyperoxaluria › primary › type 3 (of)
Inclusion terms
Alternative wording in documentation that is classified to E72.538.
- Primary hyperoxaluria, type 2
- Primary hyperoxaluria, type 3
Excludes1 — never code together — inherited from Chapter 4
The conditions below can never be reported together with E72.538 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- transitory endocrine and metabolic disorders specific to newborn (P70-P74)
Excludes1 — never code together — inherited from E70-E88
The conditions below can never be reported together with E72.538 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes1 — never code together — inherited from E72
The conditions below can never be reported together with E72.538 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes1 — never code together — inherited from E72.53
The conditions below can never be reported together with E72.538 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- secondary hyperoxaluria (E72.54-)
Excludes2 — not included here — inherited from E70-E88
The conditions below are not part of E72.538, but a patient may have both at the same time. When documentation supports it, E72.538 and the excluded code may both be reported.
- Ehlers-Danlos syndromes (Q79.6-)
How long has E72.538 existed?
E72.538 first appears in FY2026.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.