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ICD-10 Guide
ICD-10 CodesChapter 4: Endocrine, nutritional and metabolic diseasesE53

E53

Billable

Deficiency of other B group vitamins

Chapter 4:Endocrine, nutritional and metabolic diseases

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

Code Description

ICD-10 E53 is a billable code used to indicate a diagnosis of deficiency of other b group vitamins.

Key Diagnostic Point:

Deficiency of other B group vitamins refers to a lack of essential vitamins that are part of the B complex group, which includes vitamins such as B1 (thiamine), B2 (riboflavin), B3 (niacin), B5 (pantothenic acid), B6 (pyridoxine), B7 (biotin), B9 (folate), and B12 (cobalamin). Each of these vitamins plays a crucial role in various metabolic processes, including energy production, red blood cell formation, and neurological function. Deficiencies can arise from inadequate dietary intake, malabsorption syndromes, chronic alcoholism, or certain medical conditions that affect nutrient absorption. Symptoms may vary widely, including fatigue, weakness, neurological disturbances, and anemia. Diagnosis typically involves clinical evaluation and laboratory tests to measure vitamin levels. Treatment often includes dietary modifications to increase intake of B vitamins and may involve supplementation, especially in cases of severe deficiency. It is essential for healthcare providers to recognize the signs of deficiency early to prevent complications associated with prolonged vitamin insufficiency.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of symptoms that can overlap with other conditions
  • Need for specific laboratory tests to confirm deficiency
  • Potential for multiple vitamin deficiencies to coexist
  • Documentation of dietary history and clinical findings required

Audit Risk Factors

  • Inadequate documentation of dietary history
  • Failure to specify the type of B vitamin deficiency
  • Lack of laboratory results to support diagnosis
  • Misclassification of deficiency severity

Specialty Focus

Medical Specialties

Nutrition

Documentation Requirements

Detailed dietary assessments and patient history are essential.

Common Clinical Scenarios

Patients presenting with fatigue, anemia, or neurological symptoms.

Billing Considerations

Consideration of dietary restrictions and cultural factors affecting nutrition.

Internal Medicine

Documentation Requirements

Comprehensive clinical evaluations and lab results to confirm deficiencies.

Common Clinical Scenarios

Patients with chronic illnesses or malabsorption syndromes.

Billing Considerations

Monitoring for coexisting deficiencies and related health issues.

Coding Guidelines

Inclusion Criteria

Use E53 When
  • According to ICD
  • 10 coding guidelines, E53 should be used when there is clear documentation of deficiency of B group vitamins not classified elsewhere
  • It is important to include specific details about the type of vitamin deficiency and any related symptoms or conditions

Exclusion Criteria

Do NOT use E53 When
No specific exclusions found.

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used when evaluating a patient with suspected vitamin deficiency.

Documentation Requirements

Document history, examination findings, and any lab tests performed.

Specialty Considerations

Ensure that the visit includes a thorough dietary assessment.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of vitamin deficiencies, improving the accuracy of diagnosis and treatment tracking. E53 provides a distinct code for deficiencies not otherwise classified, enhancing clinical understanding and management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of vitamin deficiencies, improving the accuracy of diagnosis and treatment tracking. E53 provides a distinct code for deficiencies not otherwise classified, enhancing clinical understanding and management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of vitamin deficiencies, improving the accuracy of diagnosis and treatment tracking. E53 provides a distinct code for deficiencies not otherwise classified, enhancing clinical understanding and management.

Resources

Clinical References

  • •
    Nutritional Deficiencies and Their Management

Coding & Billing References

  • •
    Nutritional Deficiencies and Their Management

Frequently Asked Questions

What are the common symptoms of B group vitamin deficiencies?

Common symptoms include fatigue, weakness, anemia, neurological disturbances, and cognitive decline. Specific symptoms may vary depending on which B vitamin is deficient.

How can B group vitamin deficiencies be diagnosed?

Diagnosis typically involves a combination of clinical evaluation, dietary history assessment, and laboratory tests to measure specific vitamin levels.