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ICD-10 Guide
ICD-10 CodesE74.39

E74.39

Billable

Other disorders of intestinal carbohydrate absorption

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

Code Description

ICD-10 E74.39 is a billable code used to indicate a diagnosis of other disorders of intestinal carbohydrate absorption.

Key Diagnostic Point:

E74.39 encompasses a variety of conditions that affect the body's ability to absorb carbohydrates from the intestinal tract. These disorders can arise from metabolic dysfunctions, enzyme deficiencies, or genetic metabolic conditions. Common examples include conditions such as congenital sucrase-isomaltase deficiency, which impairs the digestion of sucrose and starches, leading to gastrointestinal symptoms like diarrhea, bloating, and malnutrition. Other disorders may involve deficiencies in enzymes such as maltase-glucoamylase or isomaltase, which are crucial for carbohydrate breakdown. The clinical presentation often includes failure to thrive in infants, chronic diarrhea, and abdominal pain. Diagnosis typically involves a combination of clinical evaluation, dietary history, and specific enzyme assays or genetic testing. Management may include dietary modifications to limit carbohydrate intake and supplementation with enzymes to aid digestion. Understanding these disorders is essential for accurate coding and effective patient management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Inadequate documentation of enzyme testing results
  • Failure to specify the type of carbohydrate absorption disorder
  • Lack of detailed dietary history in patient records
  • Misclassification of symptoms related to other gastrointestinal disorders

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with chronic diarrhea, malnutrition, or failure to thrive.

Billing Considerations

Ensure clear documentation of enzyme deficiencies and any genetic testing performed.

Pediatrics

Documentation Requirements

Detailed growth charts, dietary intake records, and family history of metabolic disorders.

Common Clinical Scenarios

Infants with unexplained gastrointestinal symptoms or growth delays.

Billing Considerations

Focus on developmental milestones and nutritional assessments.

Coding Guidelines

Inclusion Criteria

Use E74.39 When
  • According to ICD
  • 10 guidelines, E74
  • 39 should be used when the specific type of carbohydrate absorption disorder is not classified elsewhere
  • Coders should ensure that the diagnosis is supported by clinical documentation and that other related conditions are ruled out

Exclusion Criteria

Do NOT use E74.39 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

82947CPT Code

Glucose tolerance test

Clinical Scenario

Used to assess carbohydrate metabolism in patients with suspected absorption disorders.

Documentation Requirements

Document the indication for the test and any relevant patient history.

Specialty Considerations

Gastroenterologists may require additional documentation regarding dietary intake prior to testing.

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 facilitating better patient management. E74.39 captures a range of conditions that were previously grouped under broader categories in ICD-9.

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 facilitating better patient management. E74.39 captures a range of conditions that were previously grouped under broader categories in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of carbohydrate absorption disorders, improving the accuracy of diagnoses and facilitating better patient management. E74.39 captures a range of conditions that were previously grouped under broader categories in ICD-9.

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 chronic diarrhea, abdominal pain, bloating, and failure to thrive in children. Symptoms may vary based on the specific enzyme deficiency.