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ICD-10 Guide
ICD-10 CodesE63.1

E63.1

Billable

Imbalance of constituents of food intake

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

Code Description

ICD-10 E63.1 is a billable code used to indicate a diagnosis of imbalance of constituents of food intake.

Key Diagnostic Point:

E63.1 refers to an imbalance in the constituents of food intake, which can lead to various nutritional deficiencies. This condition arises when the diet lacks essential nutrients or contains excessive amounts of certain components, leading to malnutrition. Long-term effects of malnutrition can include stunted growth in children, weakened immune function, and increased susceptibility to chronic diseases such as diabetes and cardiovascular conditions. Nutritional deficiencies can manifest as anemia, osteoporosis, and neurological disorders, depending on the specific nutrients lacking in the diet. The sequelae of malnutrition can be profound, affecting physical health, cognitive function, and overall quality of life. It is crucial for healthcare providers to assess dietary intake and nutritional status to prevent and manage these complications effectively.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes (e.g., socioeconomic factors, medical conditions)
  • Need for comprehensive dietary assessment and documentation
  • Potential overlap with other nutritional deficiency codes
  • Variability in clinical presentation and symptoms

Audit Risk Factors

  • Insufficient documentation of dietary history
  • Lack of evidence for clinical correlation with symptoms
  • Inconsistent coding of related nutritional deficiencies
  • Failure to document interdisciplinary assessments

Specialty Focus

Medical Specialties

Nutrition and Dietetics

Documentation Requirements

Detailed dietary assessments, patient history, and treatment plans.

Common Clinical Scenarios

Patients with chronic illnesses requiring dietary modifications, children with growth issues due to malnutrition.

Billing Considerations

Ensure that all dietary recommendations are documented and linked to clinical findings.

Pediatrics

Documentation Requirements

Growth charts, developmental assessments, and nutritional evaluations.

Common Clinical Scenarios

Children presenting with growth delays or developmental issues related to malnutrition.

Billing Considerations

Monitor for signs of both acute and chronic malnutrition, and document any referrals to nutrition specialists.

Coding Guidelines

Inclusion Criteria

Use E63.1 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that E63
  • 1 is used when there is clear documentation of an imbalance in food intake
  • It is essential to document the specific nutrients involved and any related clinical conditions

Exclusion Criteria

Do NOT use E63.1 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 referred for dietary counseling due to malnutrition.

Documentation Requirements

Document the patient's nutritional assessment and treatment plan.

Specialty Considerations

Nutrition specialists should ensure that all interventions are clearly linked to the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of nutritional imbalances, enabling better tracking of malnutrition-related conditions and improving patient care through targeted interventions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of nutritional imbalances, enabling better tracking of malnutrition-related conditions and improving patient care through targeted interventions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of nutritional imbalances, enabling better tracking of malnutrition-related conditions and improving patient care through targeted interventions.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common causes of an imbalance of constituents of food intake?

Common causes include socioeconomic factors, lack of access to nutritious foods, medical conditions affecting absorption, and dietary preferences or restrictions.