Thiamine deficiency
Chapter 4:Endocrine, nutritional and metabolic diseases
ICD-10 E51 is a billable code used to indicate a diagnosis of thiamine deficiency.
Thiamine deficiency, also known as vitamin B1 deficiency, is a condition that arises from inadequate intake or absorption of thiamine, a water-soluble vitamin essential for carbohydrate metabolism and neural function. Thiamine plays a crucial role in the conversion of carbohydrates into energy and is vital for the proper functioning of the heart, muscles, and nervous system. Deficiency can lead to serious health issues, including Wernicke's encephalopathy, Korsakoff syndrome, and beriberi, which can manifest as neurological symptoms, cardiovascular problems, and metabolic disturbances. Risk factors for thiamine deficiency include chronic alcoholism, malnutrition, certain medical conditions (such as diabetes), and prolonged parenteral nutrition without adequate supplementation. Diagnosis is typically based on clinical symptoms and dietary history, and treatment involves thiamine supplementation, either orally or intravenously, depending on the severity of the deficiency. Preventive measures include dietary recommendations emphasizing thiamine-rich foods such as whole grains, legumes, nuts, and fortified cereals.
Thorough documentation of dietary intake, symptoms, and treatment plan.
Patients presenting with neurological symptoms, chronic alcohol use, or malnutrition.
Consideration of patient history regarding alcohol use and dietary habits is crucial for accurate coding.
Detailed dietary assessments and recommendations for supplementation.
Patients with malnutrition or those on restrictive diets.
Documentation should include specific dietary recommendations and patient compliance.
Used when a patient presents with symptoms of thiamine deficiency for evaluation.
Document history, examination findings, and treatment plan.
Primary care providers should ensure comprehensive documentation of dietary history.
Common symptoms include confusion, memory loss, muscle weakness, fatigue, and cardiovascular issues such as swelling and rapid heartbeat.
Treatment typically involves thiamine supplementation, either orally or intravenously, depending on the severity of the deficiency, along with dietary modifications to include thiamine-rich foods.
