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ICD-10 Guide
ICD-10 CodesE56.1

E56.1

Billable

Deficiency of vitamin K

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

Code Description

ICD-10 E56.1 is a billable code used to indicate a diagnosis of deficiency of vitamin k.

Key Diagnostic Point:

Vitamin K deficiency is a condition characterized by insufficient levels of vitamin K in the body, which is essential for the synthesis of certain proteins required for blood coagulation and bone metabolism. Vitamin K exists in two main forms: K1 (phylloquinone), found in green leafy vegetables, and K2 (menaquinone), found in fermented foods and animal products. Deficiency can lead to increased bleeding tendencies, easy bruising, and in severe cases, hemorrhagic disease. Risk factors for vitamin K deficiency include malabsorption syndromes, prolonged use of antibiotics, and certain medications such as anticoagulants. Clinicians should assess dietary intake, consider the patient's medical history, and evaluate for any underlying conditions that may contribute to malabsorption. Treatment typically involves dietary modifications to include vitamin K-rich foods and, in some cases, supplementation. Monitoring coagulation parameters is essential to ensure effective management of the deficiency.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between vitamin K deficiency and other bleeding disorders
  • Understanding the impact of anticoagulant therapy on vitamin K levels
  • Identifying underlying conditions that may cause malabsorption
  • Documenting dietary intake accurately

Audit Risk Factors

  • Inadequate documentation of dietary intake
  • Failure to document the patient's medication history
  • Lack of follow-up on coagulation studies
  • Misclassification of the deficiency type

Specialty Focus

Medical Specialties

Nutrition

Documentation Requirements

Detailed dietary assessments and patient history regarding vitamin intake.

Common Clinical Scenarios

Patients with malnutrition, gastrointestinal disorders, or those on long-term anticoagulant therapy.

Billing Considerations

Consideration of food sources of vitamin K and patient adherence to dietary recommendations.

Hematology

Documentation Requirements

Comprehensive lab results including PT/INR levels and bleeding history.

Common Clinical Scenarios

Patients presenting with unexplained bleeding or bruising.

Billing Considerations

Differentiating between vitamin K deficiency and other coagulopathies.

Coding Guidelines

Inclusion Criteria

Use E56.1 When
  • According to ICD
  • 10 guidelines, E56
  • 1 should be used when there is a confirmed diagnosis of vitamin K deficiency
  • It is important to document the clinical findings, dietary history, and any relevant laboratory results

Exclusion Criteria

Do NOT use E56.1 When
  • Exclusion criteria include conditions that are not directly related to vitamin K deficiency

Related ICD-10 Codes

Related CPT Codes

36415CPT Code

Collection of venous blood by venipuncture

Clinical Scenario

Used when obtaining blood samples for coagulation studies.

Documentation Requirements

Document the reason for blood draw and any relevant clinical history.

Specialty Considerations

Ensure proper coding for the reason for the test in relation to vitamin K deficiency.

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 vitamin K. This specificity aids in better tracking of nutritional deficiencies and their management in clinical practice.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of vitamin deficiencies, including vitamin K. This specificity aids in better tracking of nutritional deficiencies and their management in clinical practice.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of vitamin deficiencies, including vitamin K. This specificity aids in better tracking of nutritional deficiencies and their management in clinical practice.

Resources

Clinical References

  • •
    Vitamin K Deficiency Overview

Coding & Billing References

  • •
    Vitamin K Deficiency Overview

Frequently Asked Questions

What are the common symptoms of vitamin K deficiency?

Common symptoms include easy bruising, prolonged bleeding from cuts, and in severe cases, spontaneous bleeding. Patients may also experience joint pain due to bleeding into joints.