ICD-10 Code E88.01 – Alpha-1-antitrypsin deficiency (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Alpha-1-antitrypsin deficiency is E88.01.
2026 ICD-10-CM Diagnosis Code E88.01 – Alpha-1-antitrypsin deficiency

What it is

Alpha-1-antitrypsin deficiency is an inherited disorder where the body makes too little of a protective protein. It can lead to lung disease, liver disease, or both.

Clinical signs

Clinical features vary; refer to documentation. Common findings include early emphysema, chronic dyspnea, wheezing, or liver abnormalities such as hepatomegaly, jaundice, or cirrhosis.

When to use this code

Use E88.01 when the provider documents alpha-1-antitrypsin deficiency as a confirmed diagnosis. It applies whether the condition is found during evaluation of lung disease, liver disease, or family screening. Do not assume the code from low protein levels alone; confirm the documented diagnosis.

Do not use for

Do not use this code for nonspecific chronic obstructive pulmonary disease or unspecified liver disease without documented alpha-1-antitrypsin deficiency. Check documentation if the record only mentions carrier status or family history.

Coding tip

Assign E88.01 only when the chart clearly states alpha-1-antitrypsin deficiency, and code any documented organ manifestations separately.

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