Billable / Specific Code
ICD-10-CM E74.4 is the diagnosis code for Disorders of pyruvate metabolism and gluconeogenesis. This code falls under the section "Metabolic disorders" within Chapter 4 — Endocrine, nutritional and metabolic diseases (E00-E89). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
The following conditions should never be coded at the same time as E74.4. They are mutually exclusive:
Understanding where E74.4 sits in the ICD-10-CM classification helps ensure proper coding:
Yes, E74.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
E74.4 is the ICD-10-CM diagnosis code for "Disorders of pyruvate metabolism and gluconeogenesis". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of E74.4 is E74 ("Other disorders of carbohydrate metabolism"). E74.4 provides a more specific classification within this category.
E74.4 is located in Section E70-E88 — "Metabolic disorders" within Chapter 4 of the ICD-10-CM Tabular List.
Use E74.4 when the patients documented diagnosis matches "Disorders of pyruvate metabolism and gluconeogenesis" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Disorders of pyruvate metabolism and gluconeogenesis is E74.4.
Yes, E74.4 can be used as a primary diagnosis code since it is billable and specific.
E74.4 is in Chapter 4 of the ICD-10-CM Tabular List.
Type 1 Excludes for E74.4 include: disorders of pyruvate metabolism and gluconeogenesis with anemia (D55.-); Leigh's syndrome (G31.82).
Yes, E74.4 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.