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ICD-10 Guide
ICD-10 CodesE61.5

E61.5

Billable

Molybdenum deficiency

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

Code Description

ICD-10 E61.5 is a billable code used to indicate a diagnosis of molybdenum deficiency.

Key Diagnostic Point:

Molybdenum deficiency is a rare trace element disorder characterized by insufficient levels of molybdenum in the body, which is essential for various enzymatic processes. Molybdenum plays a crucial role in the metabolism of sulfur-containing amino acids and the detoxification of certain compounds. Deficiency can lead to a range of metabolic disturbances, including increased levels of sulfite and xanthine in the blood, which can result in neurological symptoms, developmental delays, and other systemic issues. Symptoms may include seizures, intellectual disability, and other neurological impairments. Molybdenum deficiency is typically diagnosed through clinical evaluation and biochemical tests that measure molybdenum levels and related metabolites. Treatment often involves dietary supplementation with molybdenum, which can be achieved through dietary sources such as legumes, grains, and nuts, or through specific supplements. Given its rarity, awareness and understanding of molybdenum deficiency are crucial for healthcare providers to ensure timely diagnosis and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Rarity of the condition leading to potential misdiagnosis.
  • Need for biochemical testing to confirm deficiency.
  • Differentiation from other trace element deficiencies.
  • Limited awareness among healthcare providers.

Audit Risk Factors

  • Inadequate documentation of biochemical testing.
  • Failure to specify dietary sources or supplementation.
  • Misclassification with other trace element deficiencies.
  • Lack of clinical correlation with symptoms.

Specialty Focus

Medical Specialties

Nutrition

Documentation Requirements

Detailed dietary history and biochemical test results.

Common Clinical Scenarios

Patients presenting with unexplained neurological symptoms or metabolic disorders.

Billing Considerations

Ensure comprehensive dietary assessments to identify potential sources of molybdenum.

Pediatrics

Documentation Requirements

Growth and developmental assessments alongside biochemical evaluations.

Common Clinical Scenarios

Children with developmental delays or neurological symptoms.

Billing Considerations

Monitor for signs of deficiency in at-risk populations, such as those with malabsorption syndromes.

Coding Guidelines

Inclusion Criteria

Use E61.5 When
  • According to ICD
  • 10 guidelines, E61
  • 5 should be used when there is a confirmed diagnosis of molybdenum deficiency, supported by clinical findings and biochemical evidence
  • It is important to document the specific symptoms and any dietary assessments conducted

Exclusion Criteria

Do NOT use E61.5 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

84520CPT Code

Serum molybdenum level test

Clinical Scenario

Used when molybdenum deficiency is suspected based on clinical symptoms.

Documentation Requirements

Document the clinical rationale for testing and any relevant patient history.

Specialty Considerations

Nutrition specialists should ensure comprehensive dietary assessments 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 trace element deficiencies, including molybdenum deficiency, which enhances the ability to track and manage these rare conditions effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of trace element deficiencies, including molybdenum deficiency, which enhances the ability to track and manage these rare conditions effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of trace element deficiencies, including molybdenum deficiency, which enhances the ability to track and manage these rare conditions effectively.

Resources

Clinical References

  • •
    National Institutes of Health - Molybdenum

Coding & Billing References

  • •
    National Institutes of Health - Molybdenum

Frequently Asked Questions

What are the symptoms of molybdenum deficiency?

Symptoms can include neurological issues such as seizures, developmental delays, and increased levels of sulfite in the blood.

How is molybdenum deficiency diagnosed?

Diagnosis is made through clinical evaluation and biochemical tests that measure serum molybdenum levels and related metabolites.

What dietary sources are rich in molybdenum?

Rich sources include legumes, grains, nuts, and leafy green vegetables.