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ICD-10 Guide
ICD-10 CodesE63.0

E63.0

Billable

Essential fatty acid [EFA] deficiency

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

Code Description

ICD-10 E63.0 is a billable code used to indicate a diagnosis of essential fatty acid [efa] deficiency.

Key Diagnostic Point:

Essential fatty acid (EFA) deficiency is a condition resulting from inadequate intake of essential fatty acids, which are crucial for various physiological functions. EFAs, primarily omega-3 and omega-6 fatty acids, play a vital role in cell membrane integrity, inflammatory response, and brain function. Deficiency can lead to a range of clinical manifestations, including dermatitis, hair loss, impaired wound healing, and neurological issues such as cognitive decline and mood disorders. Long-term malnutrition due to EFA deficiency can result in serious sequelae, including growth retardation in children, increased susceptibility to infections, and chronic inflammatory conditions. The deficiency is often seen in individuals with malabsorption syndromes, restrictive diets, or certain metabolic disorders. Diagnosis typically involves clinical evaluation and dietary assessment, with treatment focusing on dietary modification and supplementation to restore adequate EFA levels.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of clinical presentations that may overlap with other conditions.
  • Need for thorough dietary history to establish deficiency.
  • Potential for misdiagnosis due to similar symptoms with other nutritional deficiencies.
  • Documentation of dietary intake and clinical findings is crucial for accurate coding.

Audit Risk Factors

  • Inadequate documentation of dietary history.
  • Failure to link symptoms directly to EFA deficiency.
  • Misinterpretation of laboratory results related to fatty acid levels.
  • Inconsistent coding practices across different healthcare providers.

Specialty Focus

Medical Specialties

Nutrition

Documentation Requirements

Detailed dietary assessments and clinical evaluations are necessary to establish the diagnosis.

Common Clinical Scenarios

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

Billing Considerations

Ensure that dietary intake is well-documented and that any supplementation is noted.

Pediatrics

Documentation Requirements

Growth charts and developmental assessments should be included to monitor the impact of EFA deficiency.

Common Clinical Scenarios

Infants and children with failure to thrive or developmental delays.

Billing Considerations

Consider the age-specific dietary needs and the potential for long-term effects on growth and development.

Coding Guidelines

Inclusion Criteria

Use E63.0 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation and dietary assessments
  • Include any relevant symptoms and laboratory findings that confirm the deficiency

Exclusion Criteria

Do NOT use E63.0 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 diagnosed with EFA deficiency requiring dietary counseling.

Documentation Requirements

Document the patient's dietary history, assessment, and treatment plan.

Specialty Considerations

Nutrition specialists should ensure comprehensive dietary evaluations are performed.

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, including EFA deficiency, which helps in better tracking and management of these conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of nutritional deficiencies, including EFA deficiency, which helps in better tracking and management of these conditions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of nutritional deficiencies, including EFA deficiency, which helps in better tracking and management of these conditions.

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 EFA deficiency?

Common symptoms include dermatitis, hair loss, impaired wound healing, cognitive decline, and mood disorders.

How is EFA deficiency diagnosed?

Diagnosis is made through clinical evaluation, dietary history, and laboratory tests measuring fatty acid levels.

What treatments are available for EFA deficiency?

Treatment typically involves dietary modifications to include sources of essential fatty acids and may include supplementation.