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ICD-10 Guide
ICD-10 CodesE61.8

E61.8

Billable

Deficiency of other specified nutrient elements

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

Code Description

ICD-10 E61.8 is a billable code used to indicate a diagnosis of deficiency of other specified nutrient elements.

Key Diagnostic Point:

E61.8 refers to deficiencies of specific nutrient elements that are not classified under other codes. This includes dietary mineral deficiencies such as magnesium, zinc, selenium, and copper, as well as trace element disorders. These deficiencies can lead to a variety of clinical manifestations, including impaired immune function, neurological issues, and metabolic disturbances. Nutritional supplementation may be necessary to correct these deficiencies, and the approach often involves dietary modifications and the use of supplements. Clinicians must assess dietary intake, laboratory values, and clinical symptoms to accurately diagnose and manage these deficiencies. The complexity of this condition arises from the varied presentations and the need for comprehensive dietary assessments, as well as the potential overlap with other nutritional deficiencies. Accurate coding requires a thorough understanding of the specific nutrient involved and its clinical implications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of nutrient elements that can be deficient
  • Overlap with other nutritional deficiency codes
  • Need for detailed dietary history and lab results
  • Potential for multiple deficiencies in a single patient

Audit Risk Factors

  • Inadequate documentation of specific nutrient deficiency
  • Failure to link deficiency to clinical symptoms
  • Lack of dietary assessment in medical records
  • Use of E61.8 without specifying the nutrient involved

Specialty Focus

Medical Specialties

Nutritionist/Dietitian

Documentation Requirements

Detailed dietary assessments, including food frequency questionnaires and nutrient intake analysis.

Common Clinical Scenarios

Patients presenting with unexplained fatigue, immune dysfunction, or growth delays in children.

Billing Considerations

Documentation must clearly outline the specific nutrient deficiencies and the rationale for supplementation.

Endocrinology

Documentation Requirements

Thorough evaluation of metabolic function and laboratory tests to assess trace element levels.

Common Clinical Scenarios

Patients with metabolic syndrome or diabetes presenting with micronutrient deficiencies.

Billing Considerations

Endocrinologists should document the relationship between trace element deficiencies and endocrine disorders.

Coding Guidelines

Inclusion Criteria

Use E61.8 When
  • According to ICD
  • 10 guidelines, E61
  • 8 should be used when a specific nutrient deficiency is identified that does not fall under other specified codes
  • Documentation must support the diagnosis, including clinical symptoms and laboratory findings

Exclusion Criteria

Do NOT use E61.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97802CPT Code

Medical nutrition therapy, individual, face-to-face

Clinical Scenario

Used when a patient is assessed for nutrient deficiencies and dietary counseling is provided.

Documentation Requirements

Documentation must include the assessment of dietary intake and the plan for nutritional intervention.

Specialty Considerations

Nutritionists should ensure that the therapy aligns with the diagnosis of E61.8.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of nutrient deficiencies, improving the ability to track and manage these conditions effectively. E61.8 provides a broader classification for deficiencies that do not fit into other categories, enhancing clinical understanding and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of nutrient deficiencies, improving the ability to track and manage these conditions effectively. E61.8 provides a broader classification for deficiencies that do not fit into other categories, enhancing clinical understanding and treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of nutrient deficiencies, improving the ability to track and manage these conditions effectively. E61.8 provides a broader classification for deficiencies that do not fit into other categories, enhancing clinical understanding and treatment planning.

Resources

Clinical References

  • •
    Nutritional Deficiencies: A Clinical Guide

Coding & Billing References

  • •
    Nutritional Deficiencies: A Clinical Guide

Frequently Asked Questions

What types of nutrient deficiencies does E61.8 cover?

E61.8 covers deficiencies of various specified nutrient elements, including but not limited to magnesium, zinc, copper, and selenium. It is used when these deficiencies do not fall under more specific codes.