ICD-10 Guide

E67

Billable

Other hyperalimentation

Chapter 4:Endocrine, nutritional and metabolic diseases

BILLABLE STATUSYes

IMPLEMENTATION DATEOctober 1, 2015

LAST UPDATED09/05/2025

Code Description

ICD-10 E67 is a billable code used to indicate a diagnosis of other hyperalimentation.

Key Diagnostic Point:

Other hyperalimentation refers to the provision of nutrients via non-oral routes, typically in patients who cannot meet their nutritional needs through normal eating. This condition often arises in individuals with severe obesity, where traditional dietary management fails. Hyperalimentation can involve total parenteral nutrition (TPN) or enteral feeding methods. In the context of obesity, it is crucial to monitor the patient's body mass index (BMI) and overall health status, as excessive caloric intake can exacerbate obesity-related complications such as diabetes, hypertension, and cardiovascular diseases. Effective weight management strategies must be employed alongside hyperalimentation to ensure that patients achieve a healthy weight while receiving necessary nutrients. Clinicians must assess the patient's metabolic needs, monitor for potential complications, and adjust feeding protocols accordingly. The complexity of managing hyperalimentation in obese patients lies in balancing nutritional needs with the risk of further weight gain and associated health issues.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

Variety of underlying conditions requiring hyperalimentation
Need for precise calculation of nutritional requirements
Monitoring for obesity-related complications
Documentation of patient history and treatment plans

Audit Risk Factors

Inadequate documentation of medical necessity for hyperalimentation
Failure to monitor and document patient weight and BMI changes
Lack of clear treatment plans and goals
Insufficient follow-up on obesity-related complications

Specialty Focus

Medical Specialties

Nutrition and Dietetics

Documentation Requirements

Detailed assessment of dietary intake, nutritional needs, and patient history.

Common Clinical Scenarios

Patients requiring TPN due to gastrointestinal disorders or severe obesity.

Billing Considerations

Ensure accurate tracking of weight changes and dietary adjustments.

Endocrinology

Documentation Requirements

Comprehensive evaluation of metabolic status and obesity-related conditions.

Common Clinical Scenarios

Management of obesity-related diabetes and metabolic syndrome.

Billing Considerations

Documenting the interplay between hyperalimentation and metabolic health.

Coding Guidelines

Inclusion Criteria

Use E67 When

Follow official ICD
10 coding guidelines, ensuring that E67 is used when hyperalimentation is not classified under other specific codes
Document the underlying condition necessitating hyperalimentation and any related obesity complications

Exclusion Criteria

Do NOT use E67 When

No specific exclusions found.

Related CPT Codes

96365CPT Code

Intravenous infusion, for therapy, prophylaxis, or diagnosis

Clinical Scenario

Used when administering TPN in a hospital setting.

Documentation Requirements

Document the reason for TPN, patient response, and any complications.

Specialty Considerations

Ensure that the infusion is monitored by qualified personnel.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hyperalimentation, improving the ability to capture the complexity of obesity management and related nutritional interventions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hyperalimentation, improving the ability to capture the complexity of obesity management and related nutritional interventions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of hyperalimentation, improving the ability to capture the complexity of obesity management and related nutritional interventions.

Resources

Clinical References

•
American Dietetic Association

Coding & Billing References

•
American Dietetic Association

Frequently Asked Questions

What is the primary use of code E67?

Code E67 is used to classify patients who require hyperalimentation due to inability to meet nutritional needs through oral intake, particularly in the context of obesity and related complications.

ICD-10 E67 is a billable code used to indicate a diagnosis of other hyperalimentation.