E88.81
Header — not billableMetabolic syndrome and other insulin resistance
The ICD-10 code for metabolic syndrome and other insulin resistance is E88.81.
E88.81 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 4 more specific codes below.
Clinical notes
Use additional code
This code represents an underlying condition. When a related manifestation is also present, coding convention calls for an additional code to be listed after this one.
- codes for associated manifestations, such as:
- obesity (E66.-)
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •If the associated manifestation or related condition noted above is also documented, an additional code should be reported alongside this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- E88.82Obesity due to disruption of MC4R pathway
- E88.89Other specified metabolic disorders
- E88.81Metabolic syndrome and other insulin resistancenon-billable header
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- 2777