ICD-10-CM Billable Code

E83.09

Other disorders of copper metabolism

Clinical Classification Guidelines

Inclusion Terms

  • Menkes' (kinky hair) (steely hair) disease

Medical Intelligence & Overview

Other disorders of copper metabolism, classified under ICD-10 code E83.09, refer to conditions where the body has difficulty managing copper levels. Copper is an essential mineral vital for various bodily functions, including the formation of red blood cells, iron absorption, and the health of connective tissues. One of the most well-known disorders in this category is Menkes' disease, also called kinky or steely hair disease. This rare genetic disorder affects how the body absorbs and distributes copper, leading to a range of health issues. Although these disorders are uncommon, they can have significant impacts if not diagnosed and managed appropriately.

Causes & Symptoms

Clinical Causes: Genetic mutations affecting copper transport proteins, especially ATP7A gene mutations in Menkes' disease. Inherited patterns that follow X-linked recessive inheritance, primarily affecting males. Potential environmental factors that may influence copper metabolism, though genetic causes are predominant.

Key Symptoms: Kinky or steely hair that is brittle and sparse. Growth delays and failure to thrive in infants. Developmental delays, including intellectual disabilities. Muscle weakness and hypotonia (low muscle tone). Seizures and neurological abnormalities. Frequent infections due to immune system impairment. Vascular issues, such as tortuosity of blood vessels. Skin and connective tissue abnormalities.

Diagnostic & Treatment

Diagnosis Path: Diagnosing disorders of copper metabolism involves a combination of clinical evaluation and laboratory tests. Key diagnostic steps include:

Treatment Protocols: While there is no cure for these copper metabolism disorders, management focuses on early intervention and supportive care, which may include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is E83.09 a billable ICD-10 code?
Yes, E83.09 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report E83.09?
Clinical documentation must specify the nature of Other disorders of copper metabolism and any associated comorbidities for accurate reporting.

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