E88.41 MELAS syndrome

The ICD-10-CM code for MELAS syndrome is E88.41 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

4: Endocrine, nutritional and metabolic diseases (E00-E89)

Section

E70-E88: Metabolic disorders (E70-E88)

Category E88

30 codes (24 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to E88.41:

• MELAS syndrome
• Syndrome › MELAS
• Disorder (of) › metabolism NOS › mitochondrial › MELAS syndrome

Inclusion Terms

• Mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes

U.S. Hospital Utilization

• An estimated 960 U.S. inpatient stays in 2023 included E88.41 among the documented diagnoses.
• 285 stays listed it as the principal diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Diabetes mellitus (TOC entry)

a. Diabetes mellitus ................................................................................................................... 39

Obesity (TOC entry)

b. Obesity .................................................................................................................................. 42

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)