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v1.0.0
ICD-10 Guide
ICD-10 CodesE51.11

E51.11

Billable

Dry beriberi

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 E51.11 is a billable code used to indicate a diagnosis of dry beriberi.

Key Diagnostic Point:

Dry beriberi is a manifestation of thiamine (vitamin B1) deficiency characterized by peripheral neuropathy and muscle wasting. It primarily affects the nervous system, leading to symptoms such as weakness, pain, and sensory disturbances in the limbs. Unlike wet beriberi, which involves cardiovascular symptoms, dry beriberi is marked by neurological deficits. The condition often arises in populations with inadequate dietary intake of thiamine, particularly in regions where polished rice is a staple food. Chronic alcoholism, malabsorption syndromes, and certain metabolic disorders can also contribute to thiamine deficiency. Diagnosis is typically based on clinical presentation and dietary history, with laboratory tests confirming low thiamine levels. Treatment involves thiamine supplementation and dietary modifications to include thiamine-rich foods such as whole grains, legumes, nuts, and seeds. Early intervention is crucial to prevent irreversible nerve damage and improve patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between dry and wet beriberi
  • Understanding dietary sources of thiamine
  • Recognizing associated conditions like alcoholism
  • Documenting symptoms accurately for proper coding

Audit Risk Factors

  • Inadequate documentation of dietary history
  • Failure to specify symptoms related to peripheral neuropathy
  • Misclassification of beriberi type
  • Lack of evidence for thiamine supplementation

Specialty Focus

Medical Specialties

Nutrition

Documentation Requirements

Detailed dietary assessments and patient history regarding thiamine intake.

Common Clinical Scenarios

Patients presenting with neuropathy and dietary deficiencies.

Billing Considerations

Ensure thorough documentation of dietary sources and supplementation.

Neurology

Documentation Requirements

Neurological assessments and symptom descriptions.

Common Clinical Scenarios

Patients with unexplained peripheral neuropathy.

Billing Considerations

Document neurological findings clearly to support diagnosis.

Coding Guidelines

Inclusion Criteria

Use E51.11 When
  • Follow official ICD
  • 10 coding guidelines for nutritional deficiencies, ensuring accurate documentation of symptoms and dietary history
  • Include any relevant co
  • morbid conditions that may affect treatment

Exclusion Criteria

Do NOT use E51.11 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97802CPT Code

Medical nutrition therapy, individual, face-to-face

Clinical Scenario

Used for patients with diagnosed nutritional deficiencies.

Documentation Requirements

Document the patient's nutritional assessment and treatment plan.

Specialty Considerations

Nutrition specialists should ensure thorough documentation of dietary intake.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of nutritional deficiencies, improving the accuracy of diagnoses and treatment plans for conditions like dry beriberi.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of nutritional deficiencies, improving the accuracy of diagnoses and treatment plans for conditions like dry beriberi.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of nutritional deficiencies, improving the accuracy of diagnoses and treatment plans for conditions like dry beriberi.

Resources

Clinical References

  • •
    National Institutes of Health - Thiamine

Coding & Billing References

  • •
    National Institutes of Health - Thiamine

Frequently Asked Questions

What are the primary symptoms of dry beriberi?

The primary symptoms include peripheral neuropathy, muscle weakness, pain, and sensory disturbances in the limbs.

How is dry beriberi treated?

Treatment involves thiamine supplementation and dietary changes to include thiamine-rich foods.

What populations are at risk for dry beriberi?

Populations at risk include those with poor dietary intake, chronic alcoholism, and malabsorption syndromes.