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ICD-10 Guide
ICD-10 CodesChapter 4: Endocrine, nutritional and metabolic diseasesE54

E54

Billable

Ascorbic acid deficiency

Chapter 4:Endocrine, nutritional and metabolic diseases

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

Code Description

ICD-10 E54 is a billable code used to indicate a diagnosis of ascorbic acid deficiency.

Key Diagnostic Point:

Ascorbic acid deficiency, commonly known as vitamin C deficiency, is a condition that arises from inadequate intake of vitamin C, an essential nutrient that plays a critical role in various bodily functions. Vitamin C is vital for the synthesis of collagen, a protein necessary for the health of skin, cartilage, tendons, ligaments, and blood vessels. It also acts as an antioxidant, protecting cells from damage by free radicals. Symptoms of ascorbic acid deficiency can include fatigue, weakness, swollen and bleeding gums, joint pain, and anemia. In severe cases, it can lead to scurvy, characterized by skin lesions, hair and tooth loss, and increased susceptibility to infections. The deficiency is often seen in individuals with poor dietary habits, malabsorption syndromes, or increased physiological demands, such as during pregnancy or illness. Treatment typically involves dietary modifications to include more fruits and vegetables rich in vitamin C, such as citrus fruits, strawberries, kiwi, bell peppers, and broccoli, along with vitamin C supplementation when necessary. Regular monitoring and education on dietary sources of vitamin C are essential for preventing recurrence.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in dietary intake and absorption rates among patients
  • Differentiating between deficiency and other vitamin-related conditions
  • Need for comprehensive dietary history documentation
  • Potential overlap with other nutritional deficiencies

Audit Risk Factors

  • Inadequate documentation of dietary history
  • Failure to specify the severity of deficiency
  • Lack of follow-up documentation for treatment efficacy
  • Misclassification of deficiency as a related condition

Specialty Focus

Medical Specialties

Nutritionist/Dietitian

Documentation Requirements

Detailed dietary assessments and patient education records.

Common Clinical Scenarios

Patients presenting with fatigue, poor wound healing, or dietary restrictions.

Billing Considerations

Ensure documentation includes specific dietary sources and patient compliance.

Primary Care Physician

Documentation Requirements

Comprehensive patient history, including dietary habits and symptomatology.

Common Clinical Scenarios

Patients with unexplained fatigue, bleeding gums, or recurrent infections.

Billing Considerations

Document any coexisting conditions that may affect vitamin absorption.

Coding Guidelines

Inclusion Criteria

Use E54 When
  • According to ICD
  • 10 coding guidelines, E54 should be used when there is clear documentation of ascorbic acid deficiency
  • It is important to include the clinical symptoms and dietary history to support the diagnosis

Exclusion Criteria

Do NOT use E54 When
  • Exclusion criteria include other vitamin deficiencies that may present similarly

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used when a patient presents with symptoms of vitamin deficiency.

Documentation Requirements

Document the patient's symptoms, dietary history, and any relevant lab results.

Specialty Considerations

Primary care physicians should ensure comprehensive evaluations are performed.

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 E54, which helps in better tracking and management of these conditions. It emphasizes the importance of detailed documentation and accurate coding practices.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of vitamin deficiencies, including E54, which helps in better tracking and management of these conditions. It emphasizes the importance of detailed documentation and accurate coding practices.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of vitamin deficiencies, including E54, which helps in better tracking and management of these conditions. It emphasizes the importance of detailed documentation and accurate coding practices.

Resources

Clinical References

  • •
    National Institutes of Health - Vitamin C Fact Sheet

Coding & Billing References

  • •
    National Institutes of Health - Vitamin C Fact Sheet

Frequently Asked Questions

What are the common symptoms of ascorbic acid deficiency?

Common symptoms include fatigue, weakness, swollen and bleeding gums, joint pain, and anemia. In severe cases, it can lead to scurvy.

How is ascorbic acid deficiency treated?

Treatment typically involves dietary changes to include more vitamin C-rich foods and may include supplementation if necessary.