Malnutrition E40-E46
Malnutrition can lead to:
The new codes are for describing the infusion of tixagevimab and cilgavimab monoclonal antibody (code XW023X7), and the infusion of other new technology monoclonal antibody (code XW023Y7).
Unspecified severe protein-calorie 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.
Severe Protein Calorie Malnutrition (>2 of the following characteristics) • Obvious significant muscle wasting, loss of subcutaneous fat. • Nutritional intake of < 50% of recommended intake for 2 weeks or more (as assessed by dietitian).
Severe acute malnutrition is defined in these guidelines as the presence of oedema of both feet or severe wasting (weight-for-height/length <-3SD or mid-upper arm circumference < 115 mm). No distinction is made between the clinical conditions of kwashiorkor or severe wasting because their treatment is similar.
Unspecified protein-calorie malnutrition E46 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 E46 became effective on October 1, 2021.
E46The diagnosis codes of E44. 0 (moderate malnutrition), E44. 1 (mild malnutrition), and E46 (malnutrition, unspecified) complete the section of malnutrition.
PCM is expressed as severe if the patient has two or more of the following characteristics: obvious significant muscle wasting, loss of subcutaneous fat; nutritional intake of <50% of recommended intake for 2 weeks or more; bedridden or otherwise significantly reduced functional capacity; weight loss of >2% in 1 week, ...
Moderate malnutrition is defined as a weight for height z score between 2 and 3 standard deviations (SD) below the mean. 8 Severe malnutrition is defined as the weight for height z score more than 3 SD below the mean, or an arm circumference <110 mm, or the presence of nutritional oedema.
19, however, states that a BMI documented by a dietician cannot be coded unless the provider documents a nutritionally-related diagnosis, such as obesity, overweight, underweight, or malnutrition, Kennedy says. These affirm that the BMI code meets the guidelines' definition of an additional diagnosis.
3.2. Criteria selected for malnutrition diagnosisWeight loss.Low body mass index (BMI)Reduced muscle mass.Reduced food intake or assimilation.Disease burden/inflammation.
Globally, approximately 33 million children under five years of age are affected by moderate acute malnutrition (MAM), defined as a weight-for-height z-score (WHZ) between -2 and -3, and at least 19 million children under five by severe acute malnutrition (SAM), defined as a WHZ of <-3 [1, 2].
Types of Acute MalnutritionSevere Wasting. Another type of acute malnutrition is severe wasting. ... Oedema.
Chronic disease, or acute disease/injury with severe systemic inflammation, or socio-economic/environmental starvation. Under the new criteria, severity of malnutrition is based on phenotypic criteria only, and requires one phenotypic criterion that meets these thresholds: Moderate (stage 1) malnutrition. Severe (stage 2) malnutrition.
Malnutrition stage is not an indexed term, so if Stage 1 is documented, code E46 (unspecified malnutrition) may be used. If only Stage 2 is documented, it must be clarified as severe for correct coding of the condition. At this time, the ASPEN criteria are still being followed in the U.S.
Cancer and cancer treatment may cause malnutrition. An imbalanced nutritional status resulted from insufficient intake of nutrients to meet normal physiological requirement.
Malnutrition, not enough calories in diet. Nutritional disorder. Protein calorie malnutrition. Protein-calorie malnutrition with hypoalbuminemia. Clinical Information. A condition caused by not getting enough calories or the right amount of key nutrients, such as vitamins and minerals, that are needed for health.