E88.81

Metabolic syndrome and other insulin resistance

FY2027Chapter 4: Endocrine, nutritional and metabolic diseases/E70–E88 Metabolic disorders

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

E88.81 is a non-billable ICD-10-CM code header for metabolic syndrome and other insulin resistance. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are E88.810 Metabolic syndrome; E88.811 Insulin resistance syndrome, Type A; E88.818 Other insulin resistance and E88.819 Insulin resistance, unspecified. Its coding notes include a Use additional code instruction, 7 Excludes1 entries and 1 Excludes2 entry.

Use additional code

Add the listed code as a secondary code, if known.

This code
  • codes for associated manifestations, such as:
Inherited from E88 Other and unspecified metabolic disorders
  • codes for associated conditions

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from E88 Other and unspecified metabolic disorders
  • histiocytosis X (chronic) (C96.6)
Also from chapter/block level (6 notes)
Inherited from E70–E88 Metabolic disorders
  • androgen insensitivity syndrome (E34.5-)
  • congenital adrenal hyperplasia (E25.0)
  • hemolytic anemias attributable to enzyme disorders (D55.-)
  • Marfan syndrome (Q87.4-)
  • 5-alpha-reductase deficiency (E29.1)
Inherited from Chapter 4 Endocrine, nutritional and metabolic diseases
  • transitory endocrine and metabolic disorders specific to newborn (P70-P74)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (1 note)
Inherited from E70–E88 Metabolic disorders
  • Ehlers-Danlos syndromes (Q79.6-)

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 4 Endocrine, nutritional and metabolic diseases
  • All neoplasms, whether functionally active or not, are classified in Chapter 2. Appropriate codes in this chapter (i.e. E05.8, E07.0, E16-E31, E34.-) may be used as additional codes to indicate either functional activity by neoplasms and ectopic endocrine tissue or hyperfunction and hypofunction of endocrine glands associated with neoplasms and other conditions classified elsewhere.

More specific codes under E88.81 4