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ICD-10 Guide
ICD-10 CodesE64.3

E64.3

Billable

Sequelae of rickets

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

Code Description

ICD-10 E64.3 is a billable code used to indicate a diagnosis of sequelae of rickets.

Key Diagnostic Point:

Sequelae of rickets refers to the long-term effects and complications that arise from rickets, a condition caused by a deficiency of vitamin D, calcium, or phosphate. Rickets primarily affects bone development in children, leading to soft and weak bones, which can result in deformities such as bowed legs, thickened wrists and ankles, and a protruding breastbone. The sequelae can manifest as skeletal deformities, growth retardation, and dental issues, including delayed eruption of teeth and enamel hypoplasia. In addition to physical deformities, children who have experienced rickets may also face psychosocial challenges due to their appearance and mobility issues. Long-term malnutrition can lead to chronic health problems, including osteoporosis in later life, increased susceptibility to fractures, and potential cardiovascular issues. The sequelae of rickets can significantly impact a child's quality of life and overall health, necessitating comprehensive management and follow-up care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acute and chronic manifestations of rickets
  • Understanding the nutritional deficiencies leading to rickets
  • Identifying associated conditions that may complicate coding
  • Documenting long-term effects accurately

Audit Risk Factors

  • Inadequate documentation of nutritional status
  • Failure to specify the type of rickets (e.g., nutritional, renal)
  • Lack of follow-up documentation on sequelae
  • Misclassification of related conditions

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and development assessments, nutritional evaluations, and follow-up care plans.

Common Clinical Scenarios

Children presenting with bone deformities, delayed growth, or dental issues related to rickets.

Billing Considerations

Ensure comprehensive documentation of dietary history and any interventions taken to address nutritional deficiencies.

Endocrinology

Documentation Requirements

Thorough assessment of metabolic bone disease, including laboratory results for vitamin D and calcium levels.

Common Clinical Scenarios

Patients with rickets due to endocrine disorders or chronic malabsorption syndromes.

Billing Considerations

Document any underlying endocrine disorders that may contribute to the patient's condition.

Coding Guidelines

Inclusion Criteria

Use E64.3 When
  • According to ICD
  • 10 guidelines, E64
  • 3 should be used when documenting sequelae of rickets that are a direct result of previous rickets diagnosis
  • It is important to ensure that the underlying cause of rickets is also documented, as this may affect treatment and management

Exclusion Criteria

Do NOT use E64.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits to monitor growth and development in children with sequelae of rickets.

Documentation Requirements

Document the patient's growth parameters, nutritional status, and any interventions.

Specialty Considerations

Pediatricians should ensure comprehensive assessments are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of sequelae related to rickets, improving the ability to track and manage long-term effects of nutritional deficiencies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sequelae related to rickets, improving the ability to track and manage long-term effects of nutritional deficiencies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of sequelae related to rickets, improving the ability to track and manage long-term effects of nutritional deficiencies.

Resources

Clinical References

  • •
    National Institutes of Health - Rickets

Coding & Billing References

  • •
    National Institutes of Health - Rickets

Frequently Asked Questions

What are the long-term effects of rickets?

Long-term effects of rickets can include skeletal deformities, growth retardation, dental issues, and increased risk of osteoporosis and fractures in adulthood.