The 2024 ICD-10-CM Updates Include New Codes for Reporting Metabolic Disorders and Insulin Resistance

September 19th, 2023 - Aimee Wilcox

The ICD-10-CM annual updates scheduled for implementation on October 1, 2023 include 395 new codes, 25 deleted codes, and a total of 13 revised codes. Among the newly added codes are codes that better define metabolic disorders such as metabolic syndrome, also known as insulin resistance syndrome, dysmetabolic syndrome, hypertriglyceridemic waist, obesity syndrome, and Syndrome X. 

According to the National Institutes of Health (NIH), metabolic syndrome requires the presence of at least three of the following traits in a patient:

Metabolic syndrome is defined by The National Institutes of Health (NIH) as the presence of at at least three of the following traits: 

  • Large waist
  • Elevated triglyceride level
  • Reduced HDL cholesterol
  • Increased blood pressure
  • Elevated fasting blood glucose

Patients with insulin resistance are at risk for developing metabolic syndrome, which the Cleveland Clinic defines as:

“Insulin resistance, also known as impaired insulin sensitivity, happens when cells in your muscles, fat and liver don’t respond as they should to insulin, a hormone your pancreas makes that’s essential for life and regulating blood glucose (sugar) levels. Insulin resistance can be temporary or chronic and is treatable in some cases.”

This means the body is unable to properly use insulin to move excess glucose into the cells and out of the bloodstream. When insulin is unable to do its job properly, this can lead not only to high blood glucose levels, but also weight issues, obesity, prediabetes, and diabetes. Diagnosing, documenting, and reporting insulin resistance is an important step in the diagnosis and treatment of this condition. 

While there are several types of insulin resistance, Type A is the only one for which a new code was added to the ICD-10-CM updates for 2023. Type A insulin resistance is a rare genetic disorder resulting in mutation of the INSR gene, which prevents proper development of insulin receptors. Type B is another form of insulin resistance where the body’s own immune response is triggered, producing autoantibodies against the insulin receptor themselves resulting in malfunctioning of the way insulin wirks in the body.

The new updates are as follows: 

E88.- Other and unspecified metabolic disorders

           Use additional codes for associated conditions

           Excludes1: histiocytosis X (chronic) (C96.6)

OLD   E88.8 Other specified metabolic disorders

           E88.81 Metabolic syndrome and other insulin resistance

           Use additional codes for associated manifestations, such as:

                   Obesity (E66.-)

NEW E88.810 Metabolic syndrome

                         Dysmetabolic syndrome X

          E88.811 Insulin resistance syndrome, Type A

          E88.818 Other insulin resistance

                          Insulin resistance, Type B

          E88.819 Insulin resistance, unspecified

When the documentation fails to identify a specific type of insulin resistance, be sure to report E88.819 for the unspecified type. However, if Type B is reported, or any other specifically-named type of insulin resistance, other than Type A, be sure to report E88.818 for other insulin resistance. While metabolic syndrome is also known as dysmetabolic syndrome and insulin resistance syndrome, as of October 1, 2023, there are new codes for insulin resistance that should be reported. 



Questions, comments?

If you have questions or comments about this article please contact us.  Comments that provide additional related information may be added here by our Editors.

Latest articles:  (any category)

Artificial Intelligence in Healthcare - A Medical Coder's Perspective
December 26th, 2023 - Aimee Wilcox
We constantly hear how AI is creeping into every aspect of healthcare but what does that mean for medical coders and how can we better understand the language used in the codeset? Will AI take my place or will I learn with it and become an integral part of the process that uses AI to enhance my abilities? 
Specialization: Your Advantage as a Medical Coding Contractor
December 22nd, 2023 - Find-A-Code
Medical coding contractors offer a valuable service to healthcare providers who would rather outsource coding and billing rather than handling things in-house. Some contractors are better than others, but there is one thing they all have in common: the need to present some sort of value proposition in order to land new clients. As a contractor, your value proposition is the advantage you offer. And that advantage is specialization.
ICD-10-CM Coding of Chronic Obstructive Pulmonary Disease (COPD)
December 19th, 2023 - Aimee Wilcox
Chronic respiratory disease is on the top 10 chronic disease list published by the National Institutes of Health (NIH). Although it is a chronic condition, it may be stable for some time and then suddenly become exacerbated and even impacted by another acute respiratory illness, such as bronchitis, RSV, or COVID-19. Understanding the nuances associated with the condition and how to properly assign ICD-10-CM codes is beneficial.
Changes to COVID-19 Vaccines Strike Again
December 12th, 2023 - Aimee Wilcox
According to the FDA, CDC, and other alphabet soup entities, the old COVID-19 vaccines are no longer able to treat the variants experienced today so new vaccines have been given the emergency use authorization to take the place of the old vaccines. No sooner was the updated 2024 CPT codebook published when 50 of the codes in it were deleted, some of which were being newly added for 2024.
Updated ICD-10-CM Codes for Appendicitis
November 14th, 2023 - Aimee Wilcox
With approximately 250,000 cases of acute appendicitis diagnosed annually in the United States, coding updates were made to ensure high-specificity coding could be achieved when reporting these diagnoses. While appendicitis almost equally affects both men and women, the type of appendicitis varies, as dose the risk of infection, sepsis, and perforation.
COVID Vaccine Coding Changes as of November 1, 2023
October 26th, 2023 - Wyn Staheli
COVID vaccine changes due to the end of the PHE as of November 1, 2023 are addressed in this article.
Medicare Guidance Changes for E/M Services
October 11th, 2023 - Wyn Staheli
2023 brought quite a few changes to Evaluation and management (E/M) services. The significant revisions as noted in the CPT codebook were welcome changes to bring other E/M services more in line with the changes that took place with Office or Other Outpatient Services a few years ago. As part of CMS’ Medicare Learning Network, the “Evaluation and Management Services Guide” publication was finally updated as of August 2023 to include the changes that took place in 2023. If you take a look at the new publication (see references below),....

Home About Terms Privacy

innoviHealth® - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain)

Copyright © 2000-2024 innoviHealth Systems®, Inc. - CPT® copyright American Medical Association