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v1.0.0
ICD-10 Guide
ICD-10 CodesE53.0

E53.0

Billable

Riboflavin deficiency

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

Code Description

ICD-10 E53.0 is a billable code used to indicate a diagnosis of riboflavin deficiency.

Key Diagnostic Point:

Riboflavin deficiency, also known as vitamin B2 deficiency, is a condition that arises from inadequate intake of riboflavin, an essential water-soluble vitamin. This vitamin plays a crucial role in energy production, cellular function, growth, and development. Riboflavin is involved in the metabolism of fats, drugs, and steroids, and is necessary for the conversion of carbohydrates into glucose, which is used for energy. Symptoms of riboflavin deficiency may include sore throat, redness and swelling of the lining of the mouth and throat, cracks or sores on the outsides of the lips (cheilosis) and at the corners of the mouth (angular stomatitis), inflammation and redness of the tongue (magenta tongue), and a scaly, greasy skin rash. The deficiency is often seen in populations with limited access to diverse diets, particularly those who consume a high proportion of processed foods. Treatment typically involves dietary adjustments to include riboflavin-rich foods such as dairy products, eggs, green leafy vegetables, nuts, and enriched cereals, along with possible supplementation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between riboflavin deficiency and other vitamin deficiencies
  • Understanding dietary sources and recommended daily allowances
  • Identifying associated conditions that may complicate diagnosis
  • Documenting clinical symptoms accurately

Audit Risk Factors

  • Inadequate documentation of dietary history
  • Failure to specify the severity of deficiency
  • Misclassification of deficiency type
  • Lack of follow-up documentation on treatment response

Specialty Focus

Medical Specialties

Nutrition

Documentation Requirements

Detailed dietary assessments and patient history are essential.

Common Clinical Scenarios

Patients presenting with fatigue, oral lesions, or skin rashes.

Billing Considerations

Ensure to document dietary intake and any supplementation provided.

Internal Medicine

Documentation Requirements

Comprehensive clinical evaluations and lab results to confirm deficiency.

Common Clinical Scenarios

Patients with chronic illnesses or malabsorption syndromes.

Billing Considerations

Document any comorbid conditions that may affect nutrient absorption.

Coding Guidelines

Inclusion Criteria

Use E53.0 When
  • According to ICD
  • 10 coding guidelines, E53
  • 0 should be used when riboflavin deficiency is confirmed through clinical evaluation and dietary history
  • It is important to document the specific symptoms and any related conditions that may contribute to the deficiency

Exclusion Criteria

Do NOT use E53.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97802CPT Code

Medical nutrition therapy, individual, face-to-face

Clinical Scenario

Used when a patient is assessed for dietary deficiencies.

Documentation Requirements

Document the patient's dietary history and the assessment process.

Specialty Considerations

Nutrition specialists should ensure comprehensive dietary evaluations.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of vitamin deficiencies, including riboflavin deficiency, which enhances the ability to track and manage these conditions more effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of vitamin deficiencies, including riboflavin deficiency, which enhances the ability to track and manage these conditions more effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of vitamin deficiencies, including riboflavin deficiency, which enhances the ability to track and manage these conditions more effectively.

Resources

Clinical References

  • •
    National Institutes of Health - Riboflavin

Coding & Billing References

  • •
    National Institutes of Health - Riboflavin

Frequently Asked Questions

What are the common symptoms of riboflavin deficiency?

Common symptoms include sore throat, angular stomatitis, cheilosis, magenta tongue, and skin rashes.

How is riboflavin deficiency diagnosed?

Diagnosis is based on clinical symptoms, dietary history, and laboratory tests showing low riboflavin levels.

What dietary sources are rich in riboflavin?

Riboflavin is found in dairy products, eggs, green leafy vegetables, nuts, and enriched cereals.