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v1.0.0
ICD-10 Guide
ICD-10 CodesE56.0

E56.0

Billable

Deficiency of vitamin E

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

Code Description

ICD-10 E56.0 is a billable code used to indicate a diagnosis of deficiency of vitamin e.

Key Diagnostic Point:

Vitamin E deficiency is a rare but significant condition that arises from inadequate intake or absorption of vitamin E, a fat-soluble antioxidant essential for maintaining cellular integrity and preventing oxidative damage. This deficiency can lead to neurological issues, including peripheral neuropathy and ataxia, due to the role of vitamin E in nerve function and protection. It may also result in hemolytic anemia, particularly in infants, as vitamin E is crucial for red blood cell stability. Causes of vitamin E deficiency include malabsorption syndromes (such as cystic fibrosis or Crohn's disease), certain genetic disorders (like abetalipoproteinemia), and dietary insufficiency, particularly in populations with limited access to diverse foods. Diagnosis typically involves clinical evaluation, dietary assessment, and laboratory tests measuring serum vitamin E levels. Treatment focuses on dietary modifications to include vitamin E-rich foods (such as nuts, seeds, and green leafy vegetables) and supplementation when necessary. Regular monitoring and follow-up are essential to ensure adequate vitamin E levels and prevent complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for comprehensive dietary assessment
  • Potential overlap with other vitamin deficiencies
  • Documentation of underlying causes (e.g., malabsorption syndromes)

Audit Risk Factors

  • Inadequate documentation of dietary history
  • Failure to document laboratory results confirming deficiency
  • Misdiagnosis due to overlapping symptoms with other conditions
  • Lack of follow-up documentation on treatment efficacy

Specialty Focus

Medical Specialties

Nutrition

Documentation Requirements

Detailed dietary assessments and patient history, including food intake and absorption issues.

Common Clinical Scenarios

Patients with malabsorption syndromes, dietary restrictions, or chronic illnesses.

Billing Considerations

Ensure thorough documentation of dietary intake and any supplementation provided.

Neurology

Documentation Requirements

Neurological assessments, including symptoms related to nerve function and any imaging studies.

Common Clinical Scenarios

Patients presenting with neuropathy or ataxia without clear etiology.

Billing Considerations

Document neurological findings and correlate them with vitamin E levels.

Coding Guidelines

Inclusion Criteria

Use E56.0 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the diagnosis is supported by clinical documentation and laboratory results
  • Include any relevant underlying conditions that may contribute to the deficiency

Exclusion Criteria

Do NOT use E56.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

84520CPT Code

Vitamin E level test

Clinical Scenario

Used to confirm vitamin E deficiency in patients presenting with neurological symptoms.

Documentation Requirements

Document the reason for testing and any relevant clinical findings.

Specialty Considerations

Ensure that the testing aligns with the clinical presentation and dietary history.

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 tracking. E56.0 provides a clear designation for vitamin E deficiency, facilitating better patient management.

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 tracking. E56.0 provides a clear designation for vitamin E deficiency, facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of vitamin deficiencies, improving the accuracy of diagnoses and treatment tracking. E56.0 provides a clear designation for vitamin E deficiency, facilitating better patient management.

Resources

Clinical References

  • •
    Vitamin E Deficiency - Clinical Guidelines

Coding & Billing References

  • •
    Vitamin E Deficiency - Clinical Guidelines

Frequently Asked Questions

What are the common symptoms of vitamin E deficiency?

Common symptoms include muscle weakness, vision problems, and neurological issues such as ataxia and peripheral neuropathy.

How is vitamin E deficiency diagnosed?

Diagnosis is made through clinical evaluation, dietary assessment, and laboratory tests measuring serum vitamin E levels.

What dietary sources are rich in vitamin E?

Rich sources include nuts, seeds, vegetable oils, and green leafy vegetables.