ICD-10-CM Tabular Index · Chapter 4 · FY 2027 E72

Other disorders of amino-acid metabolism (E72) ICD-10-CM

The E72 code range covers other disorders of amino-acid metabolism with 39 ICD-10-CM diagnosis codes. 31 of them are billable and valid for claim submission in fiscal year 2027, and the category headers group them but cannot themselves be billed.

✓ Built from the official CMS FY 2027 datasetEffective Oct 1, 2026 – Sep 30, 2027
39
Diagnosis Codes
31
Billable Codes
E72
Code Range
E70–E88
Parent Section

Type 1 Excludes

A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

ICD-10-CM

Codes in the E72 Range 39 codes · 31 billable

39 of 39 shown
  • E72 Other disorders of amino-acid metabolismNon-billable
  • E72.0 Disorders of amino-acid transportNon-billable
  • E72.00 Disorders of amino-acid transport, unspecified
  • E72.01 Cystinuria
  • E72.02 Hartnup's disease
  • E72.03 Lowe's syndrome
  • E72.04 Cystinosis
  • E72.09 Other disorders of amino-acid transport
  • E72.1 Disorders of sulfur-bearing amino-acid metabolismNon-billable
  • E72.10 Disorders of sulfur-bearing amino-acid metabolism, unspecified
  • E72.11 Homocystinuria
  • E72.12 Methylenetetrahydrofolate reductase deficiency
  • E72.19 Other disorders of sulfur-bearing amino-acid metabolism
  • E72.2 Disorders of urea cycle metabolismNon-billable
  • E72.20 Disorder of urea cycle metabolism, unspecified
  • E72.21 Argininemia
  • E72.22 Arginosuccinic aciduria
  • E72.23 Citrullinemia
  • E72.29 Other disorders of urea cycle metabolism
  • E72.3 Disorders of lysine and hydroxylysine metabolism
  • E72.4 Disorders of ornithine metabolism
  • E72.5 Disorders of glycine metabolismNon-billable
  • E72.50 Disorder of glycine metabolism, unspecified
  • E72.51 Non-ketotic hyperglycinemia
  • E72.52 Trimethylaminuria
  • E72.53 Primary hyperoxaluriaNon-billable
  • E72.530 Primary hyperoxaluria, type 1
  • E72.538 Other specified primary hyperoxaluria
  • E72.539 Primary hyperoxaluria, unspecified
  • E72.54 Secondary hyperoxaluriaNon-billable
  • E72.540 Dietary hyperoxaluria
  • E72.541 Enteric hyperoxaluria
  • E72.548 Other secondary hyperoxaluria
  • E72.549 Secondary hyperoxaluria, unspecified
  • E72.59 Other disorders of glycine metabolism
  • E72.8 Other specified disorders of amino-acid metabolismNon-billable
  • E72.81 Disorders of gamma aminobutyric acid metabolism
  • E72.89 Other specified disorders of amino-acid metabolism
  • E72.9 Disorder of amino-acid metabolism, unspecified

Clinical Terms in This Code Range

Definitions from the National Library of Medicine for conditions coded in the E72 range.

Amino Acid Metabolism Disorder

An inherited disorder that affects the metabolism of the amino acids. Representative examples include alkaptonuria, homocystinuria, tyrosinemia, and phenylketonuria.

Citrullinemia

A group of diseases related to a deficiency of the enzyme ARGININOSUCCINATE SYNTHASE which causes an elevation of serum levels of CITRULLINE. In neonates, clinical manifestations include lethargy, hypotonia, and SEIZURES. Milder forms also occur. Childhood and adult forms may present with recurrent episodes of intermittent weakness, lethargy, ATAXIA, behavioral changes, and DYSARTHRIA. (From Menkes, Textbook of Child Neurology, 5th ed, p49)

Cystinosis

A metabolic disease characterized by the defective transport of CYSTINE across the lysosomal membrane due to mutation of a membrane protein cystinosin. This results in cystine accumulation and crystallization in the cells causing widespread tissue damage. In the KIDNEY, nephropathic cystinosis is a common cause of RENAL FANCONI SYNDROME.

Cystinuria

An inherited disorder due to defective reabsorption of CYSTINE and other BASIC AMINO ACIDS by the PROXIMAL RENAL TUBULES. This form of aminoaciduria is characterized by the abnormally high urinary levels of cystine; LYSINE; ARGININE; and ORNITHINE. Mutations involve the amino acid transport protein gene SLC3A1.

Fanconi Syndrome

A hereditary or acquired form of generalized dysfunction of the PROXIMAL KIDNEY TUBULE without primary involvement of the KIDNEY GLOMERULUS. It is usually characterized by the tubular wasting of nutrients and salts (GLUCOSE; AMINO ACIDS; PHOSPHATES; and BICARBONATES) resulting in HYPOKALEMIA; ACIDOSIS; HYPERCALCIURIA; and PROTEINURIA.

Hartnup Disease

An autosomal recessive disorder due to defective absorption of NEUTRAL AMINO ACIDS by both the intestine and the PROXIMAL RENAL TUBULES. The abnormal urinary loss of TRYPTOPHAN, a precursor of NIACIN, leads to a NICOTINAMIDE deficiency, PELLAGRA-like light-sensitive rash, CEREBELLAR ATAXIA, emotional instability, and aminoaciduria. Mutations involve the neurotransmitter transporter gene SLC6A19.

Homocystinuria

Autosomal recessive inborn error of methionine metabolism usually caused by a deficiency of CYSTATHIONINE BETA-SYNTHASE and associated with elevations of homocysteine in plasma and urine. Clinical features include a tall slender habitus, SCOLIOSIS, arachnodactyly, MUSCLE WEAKNESS, genu varus, thin blond hair, malar flush, lens dislocations, an increased incidence of MENTAL RETARDATION, and a tendency to develop fibrosis of arteries, frequently complicated by CEREBROVASCULAR ACCIDENTS and MYOCARDIAL INFARCTION. (From Adams et al., Principles of Neurology, 6th ed, p979)

Hyperammonemia

Elevated level of AMMONIA in the blood. It is a sign of defective CATABOLISM of AMINO ACIDS or ammonia to UREA.

Hyperargininemia

A rare autosomal recessive disorder of the urea cycle. It is caused by a deficiency of the hepatic enzyme ARGINASE. Arginine is elevated in the blood and cerebrospinal fluid, and periodic HYPERAMMONEMIA may occur. Disease onset is usually in infancy or early childhood. Clinical manifestations include seizures, microcephaly, progressive mental impairment, hypotonia, ataxia, spastic diplegia, and quadriparesis. (From Hum Genet 1993 Mar;91(1):1-5; Menkes, Textbook of Child Neurology, 5th ed, p51)

Hyperglycinemia, Nonketotic

An autosomal recessive metabolic disorder caused by deficiencies in the mitochondrial GLYCINE cleavage system.

Hyperlysinemias

A group of inherited metabolic disorders which have in common elevations of serum LYSINE levels. Enzyme deficiencies of alpha-aminoadipic semialdehyde dehydrogenase and the SACCHAROPINE DEHYDROGENASES have been associated with hyperlysinemia. Clinical manifestations include mental retardation, recurrent emesis, hypotonia, lethargy, diarrhea, and developmental delay. (From Menkes, Textbook of Child Neurology, 5th ed, p56)

Hyperoxaluria, Primary

A genetic disorder characterized by excretion of large amounts of OXALATES in urine; NEPHROLITHIASIS; NEPHROCALCINOSIS; early onset of RENAL FAILURE; and often a generalized deposit of CALCIUM OXALATE. There are subtypes classified by the enzyme defects in glyoxylate metabolism.

Oculocerebrorenal Syndrome

A sex-linked recessive disorder affecting multiple systems including the EYE, the NERVOUS SYSTEM, and the KIDNEY. Clinical features include congenital CATARACT; MENTAL RETARDATION; and renal tubular dysfunction (FANCONI SYNDROME; RENAL TUBULAR ACIDOSIS; X-LINKED HYPOPHOSPHATEMIA or vitamin-D-resistant rickets) and SCOLIOSIS. This condition is due to a deficiency of phosphatidylinositol 4,5-bisphosphate-5-phosphatase leading to defects in PHOSPHATIDYLINOSITOL metabolism and INOSITOL signaling pathway. (from Menkes, Textbook of Child Neurology, 5th ed, p60; Am J Hum Genet 1997 Jun;60(6):1384-8)

About the E72 Code Range

These disorders affect how the body moves or processes amino acids.

The main branches separate amino-acid transport (E72.0) from metabolism involving sulfur-bearing amino acids (E72.1), the urea cycle (E72.2), lysine and hydroxylysine (E72.3), ornithine (E72.4), and glycine (E72.5).

Within the glycine branch, E72.53 and E72.54 separate primary from secondary hyperoxaluria. Their subdivisions distinguish type 1 or dietary and enteric forms. E72.8 groups other specified disorders; E72.9 identifies an unspecified disorder.

FY 2027 changes: The FY 2027 ICD-10-CM update, effective October 1, 2026, deleted E72.53.

Questions About This Page

How many billable codes are in the E72 range?

Of the 39 codes in this range, 31 are billable and valid for claim submission from October 1, 2026 through September 30, 2027. Category header codes group them but cannot be reported on claims.

What does the E72 range classify?

The range classifies other disorders of amino-acid metabolism. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.

Related References

Source: CMS FY 2027 ICD-10-CM Tabular List and order file, effective October 1, 2026 through September 30, 2027.