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).
E40-E46 - Malnutrition. ICD-10-CM.
E46E46 - Unspecified Protein-calorie Malnutrition [Internet]. In: ICD-10-CM.
E63.9ICD-10 code E63. 9 for Nutritional deficiency, unspecified is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .
E44.00.
The diagnosis codes of E44. 0 (moderate malnutrition), E44. 1 (mild malnutrition), and E46 (malnutrition, unspecified) complete the section of malnutrition.
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.
Dietary counseling and surveillance Z71. 3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Women, infants, children and adolescents are at the highest risk of malnutrition. Optimizing nutrition early in life – including the 1000 days from conception to a child's second birthday – ensures the best possible start in life, with long-term benefits. Poverty amplifies the risk of, and risks from, malnutrition.
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.
Documentation of malnutritionInsufficient energy intake.Weight loss.Loss of muscle mass.Loss of subcutaneous fat.Localized or generalized fluid accumulation that can mask weight loss.Decreased functional status as measured by hand grip strength device.
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.