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ICD-10 Guide
ICD-10 CodesE61.7

E61.7

Billable

Deficiency of multiple nutrient elements

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

Code Description

ICD-10 E61.7 is a billable code used to indicate a diagnosis of deficiency of multiple nutrient elements.

Key Diagnostic Point:

Deficiency of multiple nutrient elements, coded as E61.7, refers to a condition characterized by the inadequate intake or absorption of essential nutrients, particularly dietary minerals and trace elements. This deficiency can lead to a variety of health issues, including impaired immune function, anemia, and metabolic disturbances. Commonly deficient nutrients include iron, zinc, magnesium, and selenium, which play critical roles in numerous physiological processes. The condition may arise from inadequate dietary intake, malabsorption syndromes, chronic illnesses, or increased physiological demands such as pregnancy. Symptoms can vary widely depending on the specific nutrients lacking and may include fatigue, weakness, hair loss, and skin changes. Diagnosis typically involves clinical evaluation, dietary assessments, and laboratory tests to measure nutrient levels. Treatment often includes dietary modifications and supplementation to restore nutrient levels and improve overall health. It is essential for healthcare providers to monitor patients for potential complications associated with these deficiencies, as they can significantly impact quality of life and long-term health outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of nutrient deficiencies that can be present simultaneously
  • Need for comprehensive dietary assessments
  • Potential overlap with other deficiency codes
  • Variability in clinical presentation based on individual patient factors

Audit Risk Factors

  • Inadequate documentation of specific nutrient deficiencies
  • Failure to link symptoms to the deficiency
  • Lack of follow-up on treatment efficacy
  • Inconsistent dietary assessment records

Specialty Focus

Medical Specialties

Nutritionist/Dietitian

Documentation Requirements

Detailed dietary assessments, patient history, and nutrient intake evaluations.

Common Clinical Scenarios

Patients with chronic illnesses, malabsorption syndromes, or those on restrictive diets.

Billing Considerations

Ensure comprehensive documentation of dietary habits and nutrient levels to support coding.

Endocrinology

Documentation Requirements

Thorough evaluation of metabolic status and hormonal influences on nutrient absorption.

Common Clinical Scenarios

Patients with diabetes or thyroid disorders experiencing nutrient deficiencies.

Billing Considerations

Document any hormonal treatments that may affect nutrient metabolism.

Coding Guidelines

Inclusion Criteria

Use E61.7 When
  • According to ICD
  • 10 coding guidelines, E61
  • 7 should be used when multiple nutrient deficiencies are documented
  • Coders must ensure that the documentation supports the diagnosis, including specific nutrient levels and associated symptoms
  • It is important to differentiate between primary and secondary deficiencies and to document any underlying conditions contributing to the nutrient deficiencies

Exclusion Criteria

Do NOT use E61.7 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97802CPT Code

Medical nutrition therapy, individual, face-to-face

Clinical Scenario

Used when a patient is receiving dietary counseling for multiple nutrient deficiencies.

Documentation Requirements

Document the patient's nutritional assessment and treatment plan.

Specialty Considerations

Nutritionists should ensure that all deficiencies are documented in the treatment plan.

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, enabling better tracking of public health trends and improving the ability to address nutritional issues in clinical practice. E61.7 provides a clear code for multiple deficiencies, which was less defined in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of nutrient deficiencies, enabling better tracking of public health trends and improving the ability to address nutritional issues in clinical practice. E61.7 provides a clear code for multiple deficiencies, which was less defined in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of nutrient deficiencies, enabling better tracking of public health trends and improving the ability to address nutritional issues in clinical practice. E61.7 provides a clear code for multiple deficiencies, which was less defined in ICD-9.

Resources

Clinical References

  • •
    Nutritional Deficiencies: A Comprehensive Guide

Coding & Billing References

  • •
    Nutritional Deficiencies: A Comprehensive Guide

Frequently Asked Questions

What are the common symptoms of multiple nutrient deficiencies?

Common symptoms include fatigue, weakness, hair loss, skin changes, and impaired immune function. The specific symptoms can vary based on which nutrients are deficient.

How is E61.7 diagnosed?

Diagnosis involves a combination of clinical evaluation, dietary assessments, and laboratory tests to measure levels of specific nutrients.