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ICD-10 Guide
ICD-10 CodesF55.4

F55.4

Billable

Abuse of vitamins

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

Code Description

ICD-10 F55.4 is a billable code used to indicate a diagnosis of abuse of vitamins.

Key Diagnostic Point:

Abuse of vitamins refers to the excessive and inappropriate consumption of vitamin supplements beyond the recommended dietary allowances. This behavior is often associated with various eating disorders, where individuals may believe that high doses of vitamins can enhance their health, improve body image, or aid in weight loss. Such abuse can lead to toxicities and adverse health effects, including hypervitaminosis, which can cause symptoms ranging from nausea and headaches to more severe complications like liver damage or neurological issues. In some cases, individuals may also experience psychological symptoms, such as anxiety or obsessive behaviors related to their vitamin intake. The condition can intersect with sleep disorders, as excessive vitamin intake, particularly of B vitamins, may disrupt sleep patterns. Additionally, it may be linked to sexual dysfunction, as certain vitamin overdoses can affect hormonal balance. Behavioral syndromes may also manifest, where the individual exhibits compulsive behaviors surrounding vitamin consumption, often as a means of coping with underlying psychological issues. Proper diagnosis and management require a comprehensive understanding of the patient's dietary habits, psychological state, and potential co-occurring disorders.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of symptoms that can overlap with other conditions
  • Need for thorough documentation of dietary habits
  • Potential for misdiagnosis with other substance abuse disorders
  • Variability in vitamin types and their effects on health

Audit Risk Factors

  • Inadequate documentation of vitamin intake
  • Failure to assess for co-occurring psychological disorders
  • Misinterpretation of symptoms as unrelated to vitamin abuse
  • Lack of follow-up documentation on patient outcomes

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history including dietary habits, psychological evaluations, and any co-occurring disorders.

Common Clinical Scenarios

Patients presenting with anxiety or obsessive behaviors related to vitamin intake.

Billing Considerations

Consideration of underlying mental health conditions that may contribute to vitamin abuse.

Nutrition

Documentation Requirements

Comprehensive dietary assessments and documentation of vitamin supplementation.

Common Clinical Scenarios

Patients seeking nutritional advice who exhibit signs of vitamin abuse.

Billing Considerations

Need for interdisciplinary collaboration to address both nutritional and psychological aspects.

Coding Guidelines

Inclusion Criteria

Use F55.4 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the patient's history and symptoms
  • Include any relevant co
  • occurring conditions and specify the nature of vitamin abuse

Exclusion Criteria

Do NOT use F55.4 When
  • Exclude cases where vitamin intake is part of a medically supervised treatment plan

Related ICD-10 Codes

Related CPT Codes

97802CPT Code

Medical nutrition therapy, individual, face-to-face, each 15 minutes

Clinical Scenario

Used when a patient is receiving counseling for dietary habits related to vitamin abuse.

Documentation Requirements

Document the patient's dietary history and the rationale for therapy.

Specialty Considerations

Nutrition specialists should ensure comprehensive assessments are conducted.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of vitamin abuse, enabling better tracking of this condition and its associated health impacts. It has improved the granularity of data collected, aiding in research and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of vitamin abuse, enabling better tracking of this condition and its associated health impacts. It has improved the granularity of data collected, aiding in research and treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of vitamin abuse, enabling better tracking of this condition and its associated health impacts. It has improved the granularity of data collected, aiding in research and treatment planning.

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 symptoms of vitamin abuse?

Common symptoms include nausea, headaches, fatigue, and in severe cases, organ dysfunction. Psychological symptoms may also manifest, such as anxiety or obsessive behaviors.