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ICD-10 Guide
ICD-10 CodesE64.8

E64.8

Billable

Sequelae of other nutritional deficiencies

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

Code Description

ICD-10 E64.8 is a billable code used to indicate a diagnosis of sequelae of other nutritional deficiencies.

Key Diagnostic Point:

E64.8 refers to the long-term effects and complications that arise from various nutritional deficiencies that are not classified under specific categories. These sequelae can manifest in multiple ways, including but not limited to impaired growth and development in children, muscle wasting, weakened immune response, and cognitive deficits. Nutritional deficiencies can result from inadequate dietary intake, malabsorption syndromes, or chronic diseases that affect nutrient utilization. The sequelae may include conditions such as anemia, osteoporosis, and neurological disorders, which can significantly impact a patient's quality of life. Clinicians must assess the patient's nutritional history and current health status to identify these sequelae accurately. Proper management often requires a multidisciplinary approach, including dietary modifications, supplementation, and monitoring of long-term health outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of nutritional deficiencies that can lead to this code
  • Need for comprehensive patient history to establish causation
  • Potential overlap with other ICD-10 codes for specific deficiencies
  • Documentation of long-term effects may be inconsistent

Audit Risk Factors

  • Inadequate documentation of nutritional history
  • Failure to link sequelae to specific nutritional deficiencies
  • Misclassification of symptoms as primary diagnoses
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Nutrition and Dietetics

Documentation Requirements

Detailed dietary assessments and patient history, including food intake records and nutritional evaluations.

Common Clinical Scenarios

Patients with chronic illnesses requiring dietary management, children with growth issues, and elderly patients with malnutrition.

Billing Considerations

Ensure that all nutritional assessments are documented thoroughly to support the diagnosis of sequelae.

Internal Medicine

Documentation Requirements

Comprehensive medical history, including chronic conditions affecting nutrition, and lab results indicating deficiencies.

Common Clinical Scenarios

Patients presenting with fatigue, weakness, or unexplained weight loss.

Billing Considerations

Linking symptoms to nutritional deficiencies requires careful documentation of clinical findings.

Coding Guidelines

Inclusion Criteria

Use E64.8 When
  • According to ICD
  • 10 guidelines, E64
  • 8 should be used when the nutritional deficiency is not specified elsewhere
  • Coders must ensure that the documentation supports the diagnosis of sequelae and that the underlying nutritional deficiency is identified

Exclusion Criteria

Do NOT use E64.8 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 receiving dietary counseling for nutritional deficiencies.

Documentation Requirements

Document the patient's nutritional assessment and treatment plan.

Specialty Considerations

Nutrition specialists should ensure that all aspects of the patient's dietary needs are addressed.

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 and their sequelae, improving the accuracy of health records and facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of nutritional deficiencies and their sequelae, improving the accuracy of health records and facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of nutritional deficiencies and their sequelae, improving the accuracy of health records and facilitating better patient management.

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 types of conditions are included under E64.8?

E64.8 includes sequelae from various nutritional deficiencies not specifically classified elsewhere, such as muscle wasting, cognitive deficits, and immune dysfunction resulting from inadequate nutrient intake.