Coding professionals would use ICD-10-CM code E43 to report severe malnutrition, also ...
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Malnutrition E40-E46
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Malnutrition ICD-10-CM Code range E40-E46.
Coding professionals would use ICD-10-CM code E43 to report severe malnutrition, also known as starvation edema. They would use ICD-10-CM code E42 to report severe protein-calorie malnutrition with signs of both kwashiorkor and marasmus.
E44.00.
Unspecified severe protein-calorie malnutrition.
Coding Department If an LIP has not already diagnosed the patient as malnourished, the coder reviews RD notes for degree of malnutrition. If the RD indicates the patient is malnourished, the coder notifies LIP with the request to document the degree of malnutrition (mild, moderate or severe).
Coding Clinic Fourth Quarter 1989 advised the sequencing of code 307.1, Anorexia nervosa, as principal diagnosis for anorexia with severe malnutrition since anorexia implies malnutrition.
E44.1E44. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM E44.
The main diagnostic features are:weight-for-length/height < -3SD (wasted) or.mid-upper arm circumference < 115 mm or.oedema of both feet (kwashiorkor with or without severe wasting).
Moderate malnutrition (MM) is defined as a weight-for-age between -3 and -2 z-scores below the median of the WHO child growth standards. It can be due to a low weight-for-height (wasting) or a low height-for-age (stunting) or to a combination of both.
The coding for weight diagnoses can be found in various chapters of ICD-10-CM. Being underweight is coded as R63. 6, which is in Chapter 18 (Signs, Symptoms, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified).
Involuntary loss of 10% or more of usual body weight within 6 months, or involuntary loss of greater than or 5% or more of usual body weight in 1 month.
Protein-Calorie Malnutrition (PCM) refers to a nutritional status in which reduced availability of nutrients leads to changes in body composition and function [1].
As the RD is the expert in nutritional assessment, he/she should document the nutrition assessment in a clear, structured, and accessible manner for the health care team to facilitate action by the LIP using the RD’s assessments relating to the patient’s nutritional status. Tables 4, 5, and 6 provide examples of documentation that can be used to accomplish this. The RD can only document the nutrition diagnosis; the medical diagnosis must be determined and documented by the physician. The medical diagnoses documented by physicians are the only ones that can be used by the clinical documentation specialists to assign the appropriate ICD-9 codes for determination of the CMI and the MS-DRG for reimbursement for the hospital stay. Therefore, the physician must document in his/her notes the malnutrition diagnosis, including the degree of malnutrition. Refer to Tables 4, 5, and 6 for example documentation of these malnutrition diagnoses by the RD and LIP. To most reliably have the nutritional status
While it is known that malnutrition results from inadequate nutrients, there is no universally accepted definition for malnutrition, or set of signs and symptoms for classifying the degree of malnutrition. Therefore, hospitals need to develop their own definitions of malnutrition based on evidence-based guidelines, professional practice, and the basic descriptions in ICD-9 codes (see Table 1).