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v1.0.0
ICD-10 Guide
ICD-10 CodesE63.8

E63.8

Billable

Other specified nutritional deficiencies

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

Code Description

ICD-10 E63.8 is a billable code used to indicate a diagnosis of other specified nutritional deficiencies.

Key Diagnostic Point:

E63.8 refers to a category of nutritional deficiencies that do not fall under the more commonly recognized classifications. These deficiencies can arise from various factors, including inadequate dietary intake, malabsorption syndromes, or specific metabolic disorders. The long-term effects of malnutrition can lead to significant sequelae, including impaired immune function, muscle wasting, and cognitive decline. Patients may present with symptoms such as fatigue, weakness, and increased susceptibility to infections. Chronic nutritional deficiencies can also result in complications such as osteoporosis, anemia, and delayed wound healing. It is crucial for healthcare providers to identify and address these deficiencies early to prevent irreversible damage and improve patient outcomes. Comprehensive nutritional assessments, including dietary history and laboratory tests, are essential for accurate diagnosis and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to nutritional deficiencies.
  • Need for comprehensive patient history and dietary assessment.
  • Potential overlap with other nutritional deficiency codes.
  • Variability in clinical presentation and symptoms.

Audit Risk Factors

  • Inadequate documentation of dietary history.
  • Failure to specify the type of nutritional deficiency.
  • Lack of supporting lab results.
  • Misuse of related codes leading to upcoding or downcoding.

Specialty Focus

Medical Specialties

Nutrition and Dietetics

Documentation Requirements

Detailed dietary assessments, including food frequency questionnaires and nutritional intake logs.

Common Clinical Scenarios

Patients with chronic illnesses requiring dietary modifications, elderly patients with malnutrition, and individuals with eating disorders.

Billing Considerations

Ensure that all dietary interventions and patient responses are documented to support the diagnosis.

Internal Medicine

Documentation Requirements

Comprehensive patient history, physical examination findings, and lab results indicating nutritional status.

Common Clinical Scenarios

Patients presenting with unexplained weight loss, fatigue, or recurrent infections.

Billing Considerations

Document any comorbid conditions that may contribute to nutritional deficiencies.

Coding Guidelines

Inclusion Criteria

Use E63.8 When
  • According to ICD
  • 10 coding guidelines, E63
  • 8 should be used when a specific nutritional deficiency is not classified elsewhere
  • Coders must ensure that the documentation supports the diagnosis and that other more specific codes are not applicable

Exclusion Criteria

Do NOT use E63.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97802CPT Code

Medical nutrition therapy, individual, face-to-face, initial assessment and intervention

Clinical Scenario

Used for patients diagnosed with nutritional deficiencies requiring dietary counseling.

Documentation Requirements

Document the patient's nutritional status, goals, and intervention plan.

Specialty Considerations

Nutrition specialists should ensure that all assessments are thorough and well-documented.

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, improving the ability to track and manage these conditions. E63.8 provides a catch-all for unspecified deficiencies, but coders must ensure that documentation supports its use.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of nutritional deficiencies, improving the ability to track and manage these conditions. E63.8 provides a catch-all for unspecified deficiencies, but coders must ensure that documentation supports its use.

Reimbursement & Billing Impact

reimbursement and to avoid audits.

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 should I document to support the use of E63.8?

Document the patient's dietary history, clinical symptoms, any relevant lab results, and the assessment of nutritional status to support the diagnosis of other specified nutritional deficiencies.