ICD-10 Code E88.810 – Metabolic syndrome (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code E88.810 – Metabolic syndrome
What it is
Metabolic syndrome is a cluster of risk factors that occur together and increase the chance of cardiovascular disease and type 2 diabetes. Use this code when the record documents the syndrome as a diagnosis.
Clinical signs
Clinical features vary; refer to documentation. Commonly noted findings include central obesity, elevated blood pressure, abnormal lipids, and impaired glucose regulation when the syndrome is diagnosed.
When to use this code
Use E88.810 when the provider clearly documents metabolic syndrome, metabolic syndrome X, or a comparable diagnosis. It fits outpatient and inpatient records when the condition is being assessed or managed as a distinct problem.
Do not assign it just because a patient has obesity, hypertension, dyslipidemia, or diabetes separately. You need documentation that these findings are part of metabolic syndrome.
Do not use for
Do not use this code for isolated obesity, hypertension, hyperlipidemia, or diabetes without a documented syndrome. Check documentation if the note only lists risk factors.
Coding tip
Look for the exact provider wording tying multiple metabolic abnormalities together before you code E88.810.