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ICD-10 Guide
ICD-10 CodesE67.0

E67.0

Billable

Hypervitaminosis A

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

Code Description

ICD-10 E67.0 is a billable code used to indicate a diagnosis of hypervitaminosis a.

Key Diagnostic Point:

Hypervitaminosis A is a condition resulting from excessive intake of vitamin A, which can lead to toxicity. This condition can manifest in various ways, including acute symptoms such as nausea, vomiting, headache, dizziness, and blurred vision, as well as chronic symptoms like liver damage, bone pain, and skin changes. The condition is often associated with the consumption of high doses of vitamin A supplements or certain animal liver products. In the context of obesity, individuals may be at risk for hypervitaminosis A if they consume excessive amounts of vitamin A-rich foods or supplements in an attempt to manage weight or improve health. The relationship between obesity and hypervitaminosis A is complex, as obesity can affect the metabolism and storage of fat-soluble vitamins, including vitamin A. Proper management of vitamin A intake is crucial, especially for individuals with obesity, as they may have altered absorption and storage mechanisms. Clinicians must be vigilant in assessing dietary habits and supplement use in patients with obesity to prevent the risk of hypervitaminosis A.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acute and chronic hypervitaminosis A.
  • Understanding dietary sources of vitamin A and their impact on obesity.
  • Assessing the patient's overall nutritional status and supplement use.
  • Documenting symptoms accurately to support the diagnosis.

Audit Risk Factors

  • Inadequate documentation of dietary intake and supplement use.
  • Failure to document symptoms associated with hypervitaminosis A.
  • Lack of clear differentiation between acute and chronic cases.
  • Insufficient linkage between obesity and hypervitaminosis A in clinical notes.

Specialty Focus

Medical Specialties

Nutrition

Documentation Requirements

Detailed dietary assessments and supplement histories.

Common Clinical Scenarios

Patients with obesity seeking weight management advice and supplementation.

Billing Considerations

Monitoring for signs of vitamin A toxicity in patients on high-dose supplements.

Endocrinology

Documentation Requirements

Thorough evaluation of metabolic disorders and vitamin levels.

Common Clinical Scenarios

Patients with obesity presenting with metabolic syndrome and vitamin A concerns.

Billing Considerations

Understanding the interplay between obesity, metabolism, and vitamin A storage.

Coding Guidelines

Inclusion Criteria

Use E67.0 When
  • According to ICD
  • 10 guidelines, E67
  • 0 should be used when there is clear evidence of hypervitaminosis A, supported by clinical symptoms and dietary history

Exclusion Criteria

Do NOT use E67.0 When
  • Exclusion criteria include other causes of vitamin A deficiency or toxicity that do not meet the criteria for hypervitaminosis A

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits in patients with hypervitaminosis A.

Documentation Requirements

Document symptoms, dietary history, and treatment plan.

Specialty Considerations

Nutrition specialists should focus on dietary counseling.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hypervitaminosis A, improving the ability to track and manage this condition in patients with obesity. It emphasizes the importance of detailed documentation and understanding of dietary factors.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hypervitaminosis A, improving the ability to track and manage this condition in patients with obesity. It emphasizes the importance of detailed documentation and understanding of dietary factors.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of hypervitaminosis A, improving the ability to track and manage this condition in patients with obesity. It emphasizes the importance of detailed documentation and understanding of dietary factors.

Resources

Clinical References

  • •
    National Institutes of Health - Vitamin A

Coding & Billing References

  • •
    National Institutes of Health - Vitamin A

Frequently Asked Questions

What are the symptoms of hypervitaminosis A?

Symptoms can include nausea, vomiting, headache, dizziness, blurred vision, liver damage, bone pain, and skin changes.

How is hypervitaminosis A diagnosed?

Diagnosis is based on clinical symptoms, dietary history, and serum vitamin A levels.

Can obesity affect vitamin A metabolism?

Yes, obesity can alter the metabolism and storage of fat-soluble vitamins, including vitamin A, increasing the risk of toxicity.