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ICD-10 Guide
ICD-10 CodesE74.3

E74.3

Billable

Other disorders of intestinal carbohydrate absorption

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

Code Description

ICD-10 E74.3 is a billable code used to indicate a diagnosis of other disorders of intestinal carbohydrate absorption.

Key Diagnostic Point:

E74.3 refers to a group of conditions characterized by the impaired absorption of carbohydrates in the intestines, leading to various metabolic disturbances. These disorders can arise from enzyme deficiencies, such as lactase deficiency, which affects lactose absorption, or from more complex metabolic disorders that impact the body's ability to process carbohydrates effectively. Patients may present with symptoms such as diarrhea, abdominal pain, bloating, and malnutrition due to the inability to absorb essential nutrients. Genetic factors can also play a role, with certain inherited conditions leading to enzyme deficiencies that disrupt carbohydrate metabolism. Diagnosis typically involves clinical evaluation, dietary assessments, and specific tests to measure enzyme activity or carbohydrate absorption. Management may include dietary modifications, enzyme replacement therapies, and nutritional support to mitigate symptoms and improve quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes (enzyme deficiencies, genetic disorders)
  • Need for comprehensive patient history and dietary assessment
  • Potential overlap with other gastrointestinal disorders
  • Variability in clinical presentation among patients

Audit Risk Factors

  • Inadequate documentation of enzyme testing
  • Failure to specify the underlying cause of carbohydrate malabsorption
  • Misclassification of symptoms related to other gastrointestinal disorders
  • Lack of detailed dietary history

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Detailed documentation of symptoms, diagnostic tests, and dietary assessments.

Common Clinical Scenarios

Patients presenting with chronic diarrhea, abdominal pain, or malnutrition due to carbohydrate malabsorption.

Billing Considerations

Ensure clear documentation of the specific carbohydrate malabsorption disorder and any related enzyme deficiencies.

Pediatrics

Documentation Requirements

Growth charts, dietary intake assessments, and family history of metabolic disorders.

Common Clinical Scenarios

Infants or children with failure to thrive, recurrent gastrointestinal symptoms, or diagnosed metabolic conditions.

Billing Considerations

Consider genetic testing results and family history when coding.

Coding Guidelines

Inclusion Criteria

Use E74.3 When
  • According to ICD
  • 10 guidelines, E74
  • 3 should be used when there is a confirmed diagnosis of a disorder affecting carbohydrate absorption
  • Documentation must support the diagnosis, including test results and clinical findings

Exclusion Criteria

Do NOT use E74.3 When
  • Exclusion criteria include conditions that do not directly affect carbohydrate absorption

Related ICD-10 Codes

Related CPT Codes

82947CPT Code

Lactose tolerance test

Clinical Scenario

Used to assess lactose absorption in patients suspected of having lactose intolerance.

Documentation Requirements

Document the reason for the test and the patient's symptoms.

Specialty Considerations

Gastroenterologists should ensure that the test results are clearly linked to the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of carbohydrate absorption disorders, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of patient outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of carbohydrate absorption disorders, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of patient outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of carbohydrate absorption disorders, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of patient outcomes and resource allocation.

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 are the common symptoms of disorders of intestinal carbohydrate absorption?

Common symptoms include diarrhea, abdominal pain, bloating, and malnutrition due to the inability to absorb carbohydrates effectively.

How is E74.3 diagnosed?

Diagnosis typically involves clinical evaluation, dietary assessments, and specific tests to measure enzyme activity or carbohydrate absorption.