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ICD-10 Guide
ICD-10 CodesChapter 4: Endocrine, nutritional and metabolic diseasesE68

E68

Billable

Sequelae of hyperalimentation

Chapter 4:Endocrine, nutritional and metabolic diseases

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

Code Description

ICD-10 E68 is a billable code used to indicate a diagnosis of sequelae of hyperalimentation.

Key Diagnostic Point:

Sequelae of hyperalimentation refers to the long-term effects and complications that arise from excessive nutritional intake, often through parenteral nutrition. This condition is particularly relevant in patients who have undergone hyperalimentation due to malnutrition or other medical conditions requiring nutritional support. The sequelae can include obesity, metabolic syndrome, and other obesity-related complications such as type 2 diabetes, hypertension, and cardiovascular diseases. The management of these sequelae often involves a multidisciplinary approach, including dietary modifications, physical activity, and sometimes pharmacotherapy. Accurate coding of E68 is crucial as it reflects the ongoing health issues stemming from previous hyperalimentation, which may require continued medical attention and intervention. Understanding the patient's body mass index (BMI) and weight management strategies is essential in addressing the complications associated with obesity that may arise from hyperalimentation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of nutritional support and its implications.
  • Involves knowledge of obesity-related complications.
  • Need for accurate BMI calculations and weight management documentation.
  • Potential overlap with other obesity-related codes.

Audit Risk Factors

  • Inadequate documentation of hyperalimentation history.
  • Failure to document obesity-related complications.
  • Lack of BMI calculations in medical records.
  • Insufficient follow-up on sequelae management.

Specialty Focus

Medical Specialties

Nutrition

Documentation Requirements

Detailed records of nutritional intake and patient history.

Common Clinical Scenarios

Patients receiving long-term parenteral nutrition with subsequent weight gain.

Billing Considerations

Monitoring of metabolic parameters and obesity-related health issues.

Endocrinology

Documentation Requirements

Thorough documentation of metabolic syndrome and related conditions.

Common Clinical Scenarios

Patients developing type 2 diabetes or hypertension post-hyperalimentation.

Billing Considerations

Assessment of endocrine function and management of obesity-related complications.

Coding Guidelines

Inclusion Criteria

Use E68 When
  • According to ICD
  • 10 guidelines, E68 should be used when documenting sequelae directly related to hyperalimentation
  • It is important to ensure that the patient's history of hyperalimentation is well
  • documented, and any related obesity complications are noted

Exclusion Criteria

Do NOT use E68 When
  • Exclusions include conditions not directly resulting from hyperalimentation

Related CPT Codes

97802CPT Code

Medical nutrition therapy, individual, face-to-face

Clinical Scenario

Used when a patient with sequelae of hyperalimentation requires dietary counseling.

Documentation Requirements

Document the patient's nutritional history and specific dietary recommendations.

Specialty Considerations

Nutrition specialists should ensure comprehensive assessments are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of sequelae related to hyperalimentation, improving the ability to track and manage obesity-related complications effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sequelae related to hyperalimentation, improving the ability to track and manage obesity-related complications effectively.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of coding E68?

Coding E68 is significant as it captures the long-term effects of hyperalimentation, which can lead to obesity and related health complications. Accurate coding ensures appropriate management and treatment of these sequelae.