E72.54 vs R82.992
E72.54 (Secondary hyperoxaluria) compared with R82.992 (Hyperoxaluria), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. R82.992 carries an Excludes1 note covering E72.54: “secondary hyperoxaluria (E72.54-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. R82.992 carries an Excludes1 note covering E72.54: “specific findings indicating disorder of amino-acid metabolism (E70-E72)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| E72.54Secondary hyperoxaluria | R82.992Hyperoxaluria | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | E00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Secondary hyperoxaluria is a non-billable ICD-10-CM category code (E72.54). | Hyperoxaluria is a billable ICD-10-CM diagnosis code (R82.992). |
| Includes | — | chromoabnormalities in urine |
| Use additional code | — | code to identify any retained foreign body, if applicable (Z18.-) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources