Dysmetabolic syndrome X

This code represents a cluster of metabolic risk factors that increase the likelihood of developing cardiovascular disease and type 2 diabetes. It is characterized by insulin resistance, often accompanied by central obesity, dyslipidemia (high triglycerides, low HDL cholesterol), and hypertension. This syndrome signifies a state of metabolic dysfunction.

This code is appropriate when a patient presents with multiple components of metabolic syndrome, even if not all criteria for a formal diagnosis are met, but the physician documents "dysmetabolic syndrome X" or "metabolic syndrome X." Documentation should clearly indicate the presence of insulin resistance along with other associated metabolic abnormalities.

• Do not use this code if the individual components of metabolic syndrome are explicitly documented and can be coded separately (e.g., obesity, hyperlipidemia, hypertension, impaired glucose tolerance).
• This code is a historical term; consider using more specific codes for the individual components of metabolic syndrome if available in the documentation.
• Ensure physician documentation explicitly uses the term "dysmetabolic syndrome X" or "metabolic syndrome X" to support the use of this code.