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.
E43ICD-10 code E43 for Unspecified severe protein-calorie malnutrition is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .
E44.00.
Unspecified severe protein-calorie malnutrition.
Severe acute malnutrition is defined by a very low weight for height (below -3z scores of the median WHO growth standards), by visible severe wasting, or by the presence of nutritional oedema.
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.
Protein-calorie malnutrition (PCM) (also called protein-energy malnutrition or PEM) occurs when a child doesn't eat enough protein and energy (measured by calories) to meet nutritional needs.
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).
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.
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.
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.
From a coding perspective, GLIM identifies only moderate and severe 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 ...
Under the new criteria, severity of malnutrition is based on phenotypic criteria only, and requires one phenotypic criterion that meets these thresholds:
Coders 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.
From a coding perspective, GLIM identifies only moderate and severe 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.
Under the new criteria, severity of malnutrition is based on phenotypic criteria only, and requires one phenotypic criterion that meets these thresholds:
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.
The 2022 edition of ICD-10-CM E46 became effective on October 1, 2021.