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ICD-10 Guide
ICD-10 CodesE53.8

E53.8

Billable

Deficiency of other specified B group vitamins

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

Code Description

ICD-10 E53.8 is a billable code used to indicate a diagnosis of deficiency of other specified b group vitamins.

Key Diagnostic Point:

Deficiency of other specified B group vitamins refers to a condition where an individual has insufficient levels of certain B vitamins that are not classified under more specific codes. B vitamins play crucial roles in energy metabolism, red blood cell formation, and neurological function. Deficiencies can arise from inadequate dietary intake, malabsorption syndromes, chronic alcoholism, or certain medical conditions that affect nutrient absorption. Symptoms may include fatigue, weakness, irritability, and neurological disturbances. Diagnosis typically involves clinical evaluation and laboratory tests to measure vitamin levels. Treatment focuses on dietary modifications to include B vitamin-rich foods such as whole grains, meat, eggs, dairy products, legumes, and leafy greens, along with supplementation when necessary. Monitoring and follow-up are essential to ensure recovery and prevent recurrence.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in symptoms and clinical presentation
  • Need for specific laboratory tests to confirm deficiency
  • Differentiation from other vitamin deficiencies
  • Potential overlap with other nutritional deficiencies

Audit Risk Factors

  • Inadequate documentation of dietary history
  • Failure to specify which B vitamins are deficient
  • Lack of supporting lab results
  • Misclassification of deficiency severity

Specialty Focus

Medical Specialties

Nutrition

Documentation Requirements

Detailed dietary assessments and patient history.

Common Clinical Scenarios

Patients with malnutrition, chronic illness, or gastrointestinal disorders.

Billing Considerations

Ensure comprehensive dietary logs are maintained for accurate coding.

Internal Medicine

Documentation Requirements

Clinical evaluations, lab results, and treatment plans.

Common Clinical Scenarios

Patients presenting with fatigue, neurological symptoms, or unexplained anemia.

Billing Considerations

Document all relevant symptoms and lab findings to support diagnosis.

Coding Guidelines

Inclusion Criteria

Use E53.8 When
  • Follow ICD
  • CM guidelines for coding nutritional deficiencies
  • Ensure that the diagnosis is supported by clinical documentation and laboratory results
  • Include any relevant co
  • morbidities that may affect the patient's nutritional status

Exclusion Criteria

Do NOT use E53.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used when evaluating a patient with suspected vitamin deficiency.

Documentation Requirements

Document history, examination findings, and treatment plan.

Specialty Considerations

Ensure that the visit includes a thorough dietary assessment.

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, improving the accuracy of diagnoses and treatment plans. E53.8 provides a way to capture deficiencies that do not fall under more specific categories.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of vitamin deficiencies, improving the accuracy of diagnoses and treatment plans. E53.8 provides a way to capture deficiencies that do not fall under more specific categories.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of vitamin deficiencies, improving the accuracy of diagnoses and treatment plans. E53.8 provides a way to capture deficiencies that do not fall under more specific categories.

Resources

Clinical References

  • •
    Nutritional Guidelines for B Vitamins

Coding & Billing References

  • •
    Nutritional Guidelines for B Vitamins

Frequently Asked Questions

What are the common symptoms of B vitamin deficiencies?

Common symptoms include fatigue, weakness, irritability, neurological disturbances, and anemia. Specific symptoms may vary depending on which B vitamin is deficient.