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ICD-10 Guide
ICD-10 CodesE64.1

E64.1

Billable

Sequelae of vitamin A deficiency

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

Code Description

ICD-10 E64.1 is a billable code used to indicate a diagnosis of sequelae of vitamin a deficiency.

Key Diagnostic Point:

Sequelae of vitamin A deficiency refers to the long-term effects and complications that arise from a deficiency of vitamin A, a crucial nutrient for maintaining healthy vision, immune function, and skin integrity. Vitamin A deficiency can lead to a range of ocular issues, including night blindness and xerophthalmia, which can progress to more severe conditions such as corneal ulceration and blindness if not addressed. Additionally, vitamin A plays a vital role in the immune system, and its deficiency can result in increased susceptibility to infections, particularly in children. Long-term malnutrition due to vitamin A deficiency can also lead to stunted growth and developmental delays in pediatric populations. The sequelae may manifest as chronic respiratory infections, skin disorders, and impaired wound healing. Clinicians must be vigilant in recognizing these sequelae, especially in populations at risk, such as those with limited access to diverse diets or those suffering from malabsorption syndromes. Proper diagnosis and management are essential to prevent irreversible damage and improve patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of nutritional deficiencies and their long-term effects.
  • Differentiation from other nutritional deficiencies can be challenging.
  • Documentation must clearly indicate the sequelae related to vitamin A deficiency.
  • Potential overlap with other codes related to malnutrition.

Audit Risk Factors

  • Inadequate documentation of dietary history.
  • Failure to specify the sequelae of vitamin A deficiency.
  • Misclassification of symptoms as unrelated conditions.
  • Lack of follow-up documentation on treatment outcomes.

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed growth and development assessments, dietary intake records, and history of infections.

Common Clinical Scenarios

Children presenting with night blindness, recurrent infections, or growth delays.

Billing Considerations

Consideration of socioeconomic factors affecting nutrition and access to vitamin A-rich foods.

Nutrition/Dietetics

Documentation Requirements

Comprehensive nutritional assessments and dietary evaluations.

Common Clinical Scenarios

Patients with malabsorption syndromes or those on restrictive diets.

Billing Considerations

Focus on dietary interventions and monitoring of vitamin A levels.

Coding Guidelines

Inclusion Criteria

Use E64.1 When
  • According to ICD
  • 10 coding guidelines, E64
  • 1 should be used when there is clear documentation of sequelae resulting from vitamin A deficiency
  • It is important to ensure that the diagnosis is supported by clinical findings and dietary history

Exclusion Criteria

Do NOT use E64.1 When
  • Exclusion of other causes of similar symptoms is also necessary

Related ICD-10 Codes

Related CPT Codes

97802CPT Code

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

Clinical Scenario

Used for patients receiving dietary counseling for vitamin A deficiency.

Documentation Requirements

Document the patient's nutritional assessment and treatment plan.

Specialty Considerations

Nutrition specialists should ensure comprehensive dietary evaluations.

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 E64.1, which helps in better tracking and management of these conditions. It emphasizes the importance of detailed documentation of sequelae, improving patient care and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of nutritional deficiencies, including E64.1, which helps in better tracking and management of these conditions. It emphasizes the importance of detailed documentation of sequelae, improving patient care and outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of nutritional deficiencies, including E64.1, which helps in better tracking and management of these conditions. It emphasizes the importance of detailed documentation of sequelae, improving patient care and outcomes.

Resources

Clinical References

  • •
    World Health Organization - Vitamin A Deficiency

Coding & Billing References

  • •
    World Health Organization - Vitamin A Deficiency

Frequently Asked Questions

What are the common symptoms of vitamin A deficiency?

Common symptoms include night blindness, dry eyes, and increased susceptibility to infections. Long-term deficiency can lead to more severe ocular complications and skin issues.