ICD-10 Code E71.529 – X-linked adrenoleukodystrophy, unspecified type (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for X-linked adrenoleukodystrophy, unspecified type is E71.529.
2026 ICD-10-CM Diagnosis Code E71.529 – X-linked adrenoleukodystrophy, unspecified type

What it is

E71.529 identifies X-linked adrenoleukodystrophy when the record does not specify a cerebral, adrenal, or other subtype. It is a hereditary peroxisomal disorder that affects very long-chain fatty acid metabolism.

Clinical signs

Clinical features vary; refer to documentation. Commonly documented findings include progressive neurologic decline, gait problems, and adrenal insufficiency, but you should code only what is supported in the chart.

When to use this code

Use this code when the provider documents X-linked adrenoleukodystrophy without naming a specific type. It also fits cases where the diagnosis is confirmed, but the subtype is not stated in the assessment or problem list. If the note names a more specific form, you should code that instead.

Do not use for

Do not use this code for a different leukodystrophy, nonspecific adrenal disorder, or a carrier state without disease. Check documentation if the record only mentions family history or suspected disease.

Coding tip

Look for the exact wording “unspecified type” or an equivalent omission before assigning E71.529.

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