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ICD-10 Guide
ICD-10 CodesE61.3

E61.3

Billable

Manganese deficiency

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

Code Description

ICD-10 E61.3 is a billable code used to indicate a diagnosis of manganese deficiency.

Key Diagnostic Point:

Manganese deficiency is a rare but significant condition that arises from inadequate dietary intake of manganese, an essential trace mineral involved in numerous physiological processes. Manganese plays a crucial role in bone formation, blood sugar regulation, and antioxidant defense. Deficiency can lead to a variety of health issues, including impaired growth, skeletal abnormalities, and neurological problems. Symptoms may include weakness, bone malformation, and increased susceptibility to oxidative stress. The condition is often associated with malnutrition, gastrointestinal disorders that impair nutrient absorption, or excessive intake of other minerals that inhibit manganese absorption. Diagnosis typically involves clinical evaluation and dietary assessment, as well as laboratory tests to measure manganese levels in the body. Treatment focuses on dietary modification to include manganese-rich foods such as nuts, seeds, whole grains, and leafy green vegetables, along with possible supplementation under medical supervision. Regular monitoring is essential to prevent complications associated with deficiency.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of dietary sources and clinical implications of manganese deficiency.
  • Differentiation from other trace element deficiencies can be challenging.
  • Documentation must clearly indicate the deficiency and its clinical manifestations.
  • Potential overlap with other nutritional deficiencies may complicate coding.

Audit Risk Factors

  • Insufficient documentation of dietary history.
  • Lack of laboratory results confirming deficiency.
  • Inadequate clinical correlation between symptoms and diagnosis.
  • Failure to document treatment plans or follow-up care.

Specialty Focus

Medical Specialties

Nutrition

Documentation Requirements

Detailed dietary assessments and clinical evaluations are necessary to establish a diagnosis of manganese deficiency.

Common Clinical Scenarios

Patients presenting with unexplained fatigue, growth retardation in children, or neurological symptoms.

Billing Considerations

Ensure that dietary intake is thoroughly documented, and consider the patient's overall nutritional status.

Gastroenterology

Documentation Requirements

Documentation of gastrointestinal disorders that may affect nutrient absorption is critical.

Common Clinical Scenarios

Patients with malabsorption syndromes or chronic diarrhea presenting with signs of deficiency.

Billing Considerations

Linking gastrointestinal conditions to nutritional deficiencies requires careful documentation of both conditions.

Coding Guidelines

Inclusion Criteria

Use E61.3 When
  • According to ICD
  • 10 guidelines, E61
  • 3 should be used when there is clear documentation of manganese deficiency, supported by clinical findings and dietary assessments
  • It is important to ensure that the diagnosis is not coded without sufficient evidence of deficiency

Exclusion Criteria

Do NOT use E61.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97802CPT Code

Medical nutrition therapy, individual, face-to-face, each 15 minutes

Clinical Scenario

Used when providing dietary counseling for patients diagnosed with manganese deficiency.

Documentation Requirements

Document the patient's nutritional assessment, goals, and progress.

Specialty Considerations

Nutrition specialists should ensure comprehensive dietary evaluations are included.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of nutritional deficiencies, including manganese deficiency, which helps in better tracking and management of these conditions. It emphasizes the need for detailed documentation and clinical correlation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of nutritional deficiencies, including manganese deficiency, which helps in better tracking and management of these conditions. It emphasizes the need for detailed documentation and clinical correlation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of nutritional deficiencies, including manganese deficiency, which helps in better tracking and management of these conditions. It emphasizes the need for detailed documentation and clinical correlation.

Resources

Clinical References

  • •
    National Institutes of Health - Manganese Fact Sheet

Coding & Billing References

  • •
    National Institutes of Health - Manganese Fact Sheet

Frequently Asked Questions

What are the common symptoms of manganese deficiency?

Common symptoms include weakness, bone malformation, fatigue, and neurological issues such as mood changes or cognitive difficulties.

How is manganese deficiency diagnosed?

Diagnosis is made through clinical evaluation, dietary assessments, and laboratory tests measuring manganese levels in the body.

What foods are rich in manganese?

Foods high in manganese include nuts, seeds, whole grains, leafy green vegetables, and tea.