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ICD-10 Guide
ICD-10 CodesE67.1

E67.1

Billable

Hypercarotenemia

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

Code Description

ICD-10 E67.1 is a billable code used to indicate a diagnosis of hypercarotenemia.

Key Diagnostic Point:

Hypercarotenemia is a condition characterized by an excess of carotenoids, particularly beta-carotene, in the bloodstream, leading to a yellow-orange discoloration of the skin, especially noticeable on the palms and soles. This condition is often benign and primarily results from excessive dietary intake of carotenoid-rich foods, such as carrots, sweet potatoes, and leafy greens. Unlike jaundice, which is caused by liver dysfunction and results in yellowing of the skin and eyes, hypercarotenemia does not affect the sclera (the white part of the eyes). While hypercarotenemia itself is not harmful, it can be associated with obesity, as individuals with higher body mass indexes (BMIs) may consume larger quantities of carotenoid-rich foods in an attempt to manage weight. This condition can also complicate the assessment of jaundice in obese patients, as the skin changes may mask underlying liver issues. Management typically involves dietary modification and education on balanced nutrition, emphasizing moderation in the consumption of carotenoid-rich foods. Understanding the relationship between hypercarotenemia and obesity is crucial for healthcare providers, as it highlights the importance of comprehensive dietary assessments in weight management strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between hypercarotenemia and jaundice
  • Understanding dietary influences on the condition
  • Recognizing the benign nature of the condition
  • Documenting dietary habits accurately

Audit Risk Factors

  • Inadequate documentation of dietary intake
  • Misdiagnosis as jaundice
  • Failure to document associated obesity
  • Lack of follow-up on dietary changes

Specialty Focus

Medical Specialties

Nutrition

Documentation Requirements

Detailed dietary history and assessment of carotenoid intake.

Common Clinical Scenarios

Patients presenting with skin discoloration and dietary concerns.

Billing Considerations

Emphasis on patient education regarding balanced diets and moderation.

Endocrinology

Documentation Requirements

Assessment of obesity-related complications and metabolic syndrome.

Common Clinical Scenarios

Patients with obesity presenting with skin changes and metabolic issues.

Billing Considerations

Consideration of the interplay between obesity and dietary habits.

Coding Guidelines

Inclusion Criteria

Use E67.1 When
  • According to ICD
  • 10 guidelines, E67
  • 1 should be used when hypercarotenemia is diagnosed based on clinical findings and dietary history
  • It is important to document the patient's dietary habits and any associated obesity to support the diagnosis

Exclusion Criteria

Do NOT use E67.1 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 providing dietary counseling for patients with hypercarotenemia.

Documentation Requirements

Document the patient's dietary history and the rationale for therapy.

Specialty Considerations

Nutrition specialists should ensure comprehensive dietary assessments.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like hypercarotenemia, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of dietary-related health issues.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like hypercarotenemia, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of dietary-related health issues.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like hypercarotenemia, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of dietary-related health issues.

Resources

Clinical References

  • •
    American Academy of Nutrition and Dietetics

Coding & Billing References

  • •
    American Academy of Nutrition and Dietetics

Frequently Asked Questions

What dietary changes can help manage hypercarotenemia?

Reducing the intake of carotenoid-rich foods and focusing on a balanced diet can help manage hypercarotenemia. Consulting with a nutritionist can provide personalized dietary recommendations.