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ICD-10 Guide
ICD-10 CodesChapter 4: Endocrine, nutritional and metabolic diseasesE61

E61

Billable

Deficiency of other nutrient elements

Chapter 4:Endocrine, nutritional and metabolic diseases

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

Code Description

ICD-10 E61 is a billable code used to indicate a diagnosis of deficiency of other nutrient elements.

Key Diagnostic Point:

Deficiency of other nutrient elements encompasses a range of conditions resulting from inadequate intake or absorption of essential dietary minerals and trace elements. These deficiencies can lead to various health issues, including impaired immune function, anemia, and bone disorders. Common nutrient deficiencies include iron, zinc, selenium, and magnesium, each playing critical roles in metabolic processes. For instance, iron deficiency can lead to anemia, while zinc deficiency may impair wound healing and immune response. Trace elements, although required in smaller amounts, are vital for enzymatic functions and overall health. Nutritional supplementation is often necessary to correct these deficiencies, particularly in populations at risk, such as the elderly, pregnant women, and individuals with malabsorption syndromes. Clinicians must assess dietary intake, clinical symptoms, and laboratory results to diagnose these deficiencies accurately. Treatment typically involves dietary modifications and supplementation, tailored to the specific nutrient lacking.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of nutrient elements that can be deficient
  • Overlap with other deficiency codes
  • Need for detailed dietary history
  • Potential for multiple deficiencies in a single patient

Audit Risk Factors

  • Inadequate documentation of dietary history
  • Failure to specify the nutrient element deficient
  • Lack of laboratory results to support diagnosis
  • Coding multiple deficiencies without clear documentation

Specialty Focus

Medical Specialties

Nutritionist/Dietitian

Documentation Requirements

Detailed dietary assessments and patient history, including food frequency questionnaires.

Common Clinical Scenarios

Patients with malnutrition, obesity, or chronic illnesses requiring dietary intervention.

Billing Considerations

Ensure clear documentation of dietary recommendations and patient compliance.

Endocrinology

Documentation Requirements

Thorough evaluation of metabolic disorders and related deficiencies.

Common Clinical Scenarios

Patients with diabetes or thyroid disorders experiencing nutrient deficiencies.

Billing Considerations

Document any hormonal treatments that may affect nutrient absorption.

Coding Guidelines

Inclusion Criteria

Use E61 When
  • Follow official coding guidelines for E61, ensuring accurate documentation of the specific nutrient deficiency
  • Include relevant laboratory results and dietary assessments

Exclusion Criteria

Do NOT use E61 When
  • Exclude conditions that are not classified under this code

Related CPT Codes

97802CPT Code

Medical nutrition therapy, individual, face-to-face

Clinical Scenario

Used when a patient is assessed for dietary deficiencies.

Documentation Requirements

Document the patient's dietary history and assessment findings.

Specialty Considerations

Nutritionists should ensure comprehensive dietary evaluations are included.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of nutrient deficiencies, improving the ability to track and manage these conditions effectively. It has also enhanced the granularity of data for research and public health monitoring.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of nutrient deficiencies, improving the ability to track and manage these conditions effectively. It has also enhanced the granularity of data for research and public health monitoring.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of nutrient deficiencies, improving the ability to track and manage these conditions effectively. It has also enhanced the granularity of data for research and public health monitoring.

Resources

Clinical References

  • •
    Nutritional Deficiencies: A Guide for Clinicians

Coding & Billing References

  • •
    Nutritional Deficiencies: A Guide for Clinicians

Frequently Asked Questions

What are the common symptoms of nutrient deficiencies?

Common symptoms include fatigue, weakness, hair loss, poor wound healing, and developmental delays, depending on the specific nutrient that is deficient.