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ICD-10 Guide
ICD-10 CodesChapter 4: Endocrine, nutritional and metabolic diseasesE58

E58

Billable

Dietary calcium deficiency

Chapter 4:Endocrine, nutritional and metabolic diseases

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

Code Description

ICD-10 E58 is a billable code used to indicate a diagnosis of dietary calcium deficiency.

Key Diagnostic Point:

Dietary calcium deficiency (E58) refers to a condition resulting from inadequate intake of calcium, an essential mineral crucial for various bodily functions, including bone health, muscle function, and nerve transmission. Calcium deficiency can lead to a range of health issues, such as osteoporosis, rickets in children, and increased risk of fractures in adults. The condition may arise from dietary insufficiencies, malabsorption syndromes, or increased physiological demands, such as during pregnancy or lactation. Symptoms may include muscle cramps, numbness, and tingling in the fingers, as well as more severe complications like osteopenia or osteoporosis over time. Diagnosis typically involves clinical evaluation, dietary assessment, and laboratory tests to measure serum calcium levels. Treatment focuses on dietary modification to increase calcium intake, supplementation, and addressing any underlying conditions contributing to the deficiency. It is essential for healthcare providers to recognize and manage dietary calcium deficiency to prevent long-term skeletal complications and ensure optimal health outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in dietary intake assessment
  • Differentiation from other mineral deficiencies
  • Need for comprehensive patient history
  • Potential overlap with other conditions (e.g., osteoporosis)

Audit Risk Factors

  • Inadequate documentation of dietary history
  • Failure to document supplementation efforts
  • Misclassification of deficiency severity
  • Lack of follow-up on treatment outcomes

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed patient history, including dietary intake and any underlying endocrine disorders.

Common Clinical Scenarios

Patients with osteoporosis or metabolic bone disease requiring calcium supplementation.

Billing Considerations

Ensure documentation reflects the rationale for calcium supplementation and any monitoring of serum calcium levels.

Nutrition

Documentation Requirements

Comprehensive dietary assessments and recommendations for calcium-rich foods.

Common Clinical Scenarios

Patients with malabsorption syndromes or dietary restrictions leading to calcium deficiency.

Billing Considerations

Document specific dietary changes and patient adherence to recommendations.

Coding Guidelines

Inclusion Criteria

Use E58 When
  • According to ICD
  • 10 coding guidelines, E58 should be used when there is clear evidence of dietary calcium deficiency, supported by clinical documentation
  • It is important to differentiate this condition from other mineral deficiencies and ensure that the diagnosis is substantiated by dietary assessments and laboratory results

Exclusion Criteria

Do NOT use E58 When
No specific exclusions found.

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used when a patient with dietary calcium deficiency is evaluated and managed in an outpatient setting.

Documentation Requirements

Document the patient's history, dietary assessment, and treatment plan.

Specialty Considerations

Endocrinologists may require additional lab results to support the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of dietary deficiencies, improving the accuracy of diagnoses and treatment plans. E58 provides a clear framework for identifying and managing dietary calcium deficiency, facilitating better patient care and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of dietary deficiencies, improving the accuracy of diagnoses and treatment plans. E58 provides a clear framework for identifying and managing dietary calcium deficiency, facilitating better patient care and outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of dietary deficiencies, improving the accuracy of diagnoses and treatment plans. E58 provides a clear framework for identifying and managing dietary calcium deficiency, facilitating better patient care and outcomes.

Resources

Clinical References

  • •
    National Institutes of Health - Calcium Fact Sheet

Coding & Billing References

  • •
    National Institutes of Health - Calcium Fact Sheet

Frequently Asked Questions

What are the common symptoms of dietary calcium deficiency?

Common symptoms include muscle cramps, numbness and tingling in the fingers, brittle nails, and increased risk of fractures. Long-term deficiency can lead to osteoporosis.