2027 ICD-10-CM Diagnosis Code E88.09Other disorders of plasma-protein metabolism, not elsewhere classified

ICD-10-CM Codes›E00–E89›E70-E88›E88

ICD-10-CM E88.09
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

E88.09 is a billable ICD-10-CM diagnosis code for other disorders of plasma-protein metabolism, not elsewhere classified. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 826 through 830, 843 through 845. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified and unspecified nutritional and metabolic disorders.

Code Identity

ICD-10-CM Code
E88.09
Billable Status
Yes — Valid for Submission
Code Describes
Other disorders of plasma-protein metabolism, not elsewhere classified
Short Description
Oth disorders of plasma-protein metabolism, NEC
Parent Code
Disorders of plasma-protein metabolism, not elsewhere classified

Code Classification

ChapterE00–E89Endocrine, nutritional and metabolic diseases
SectionE70-E88Metabolic disorders
CategoryE88Other and unspecified metabolic disorders
This CodeE88.09Other disorders of plasma-protein metabolism, not elsewhere classified

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Analbuminemia
  • Antichymotrypsin deficiency-alpha-1
  • Autosomal variant form of transthyretin
  • Bisalbuminemia
  • Congenital analbuminemia
  • Congenital atransferrinemia
  • Congenital transferrin deficiency
  • Deficiency of choline esterase II
  • Deficiency of inosine nucleosidase
  • Disorder of plasma protein metabolism
  • Disorder of protein metabolism
  • Edema due to hypoproteinemia
  • Hereditary butyrylcholinesterase deficiency
  • Hyperalbuminemia
  • Hyperproteinemia
  • Hypoalbuminemia
  • Hypoalbuminemia due to protein calorie malnutrition
  • Hypoproteinemia
  • Macroamylasemia
  • Metabolic ascites
  • Neuropathy associated with dysproteinemias

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to E88.09: its own notes plus those printed at E88.0, E88, block E70-E88, and Chapter 4. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Bisalbuminemia

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From E88.0 Disorders of plasma-protein metabolism, not elsewhere classified applies to 3 codes
  • monoclonal gammopathy (of undetermined significance) (D47.2)
  • polyclonal hypergammaglobulinemia (D89.0)
  • Waldenström macroglobulinemia (C88.00)
From E88 Other and unspecified metabolic disorders applies to 24 codes
  • histiocytosis X (chronic) (C96.6)
From Block E70-E88 Metabolic disorders applies to 286 codes
  • 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)
From Chapter 4 (E00-E89) Endocrine, nutritional and metabolic diseases applies to 973 codes
  • transitory endocrine and metabolic disorders specific to newborn (P70-P74)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From E88.0 Disorders of plasma-protein metabolism, not elsewhere classified applies to 3 codes
  • disorder of lipoprotein metabolism (E78.-)
From Block E70-E88 Metabolic disorders applies to 286 codes
  • Ehlers-Danlos syndromes (Q79.6-)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From E88 Other and unspecified metabolic disorders applies to 24 codes
  • codes for associated conditions

Notes

General instructions on how these codes are used.

From Chapter 4 (E00-E89) Endocrine, nutritional and metabolic diseases applies to 973 codes
  • 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.

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name E88.09, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming E88.09: they are not reported together with it, unless the two conditions are unrelated.

  • R77 Other abnormalities of plasma proteins
    disorders of plasma-protein metabolism (E88.0-) names E88.0-, which includes this code

Index to Diseases and InjuriesGuidance

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR END016
Other specified and unspecified nutritional and metabolic disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Hypoalbuminemia

    a condition in which albumin level in blood (serum albumin) is below the normal range. hypoalbuminemia may be due to decreased hepatic albumin synthesis, increased albumin catabolism, altered albumin distribution, or albumin loss through the urine (albuminuria).

Patient EducationClinical

Metabolic Disorders

Metabolism is the process your body uses to get or make energy from the food you eat. Food is made up of proteins, carbohydrates, and fats. Chemicals in your digestive system break the food parts down into sugars and acids, your body's fuel.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert E88.09 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
273.8 Dis plas protein met NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About E88.09Overview

What is the ICD-10 code for other disorders of plasma-protein metabolism, not elsewhere classified?

The ICD-10-CM code for other disorders of plasma-protein metabolism, not elsewhere classified is E88.09 (sometimes written as E8809). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is E88.09 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other disorders of plasma-protein metabolism, not elsewhere classified on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does E88.09 group to?

When other disorders of plasma-protein metabolism, not elsewhere classified is the principal diagnosis on an inpatient stay, it groups to MS-DRG 844, 827, 829, 843, 828, 826, 830, 845, with relative weights from 0.8443 to 4.7560 depending on complications. Higher weights mean higher Medicare reimbursement.

Can E88.09 be reported with D47.2?

Not as a rule. The Excludes1 note at E88.0, which applies to E88.09, lists "monoclonal gammopathy (of undetermined significance) (D47.2)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

Does E88.09 need an additional code?

When the condition applies, yes. The Use Additional Code note at E88, which applies to E88.09, reads: codes for associated conditions. The additional code is reported after E88.09.