Moderate protein-calorie malnutrition
ICD-10-CM AND THE PDPM OBJECTIVES ■ To understand how the ICD-10-CM codes are utilized by the new payment system ■ To understand how the Clinical Category Mapping is utilized ■ To understand in which ‘buckets’ of the PDPM the diagnostic code is being used ■ To provide recommendations related to the best utilization of the ICD-10-CM codes
OBJECTIVES ■ To understand how the ICD-10-CM codes are utilized by the new payment system ■ To understand how the Clinical Category Mapping is utilized ■ To understand in which ‘buckets’ of the PDPM the diagnostic code is being used ■ To provide recommendations related to the best utilization of the ICD-10-CM codes.
E46 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM E46 became effective on October 1, 2018. This is the American ICD-10-CM version of E46 - other international versions of ICD-10 E46 may differ.
What was the impact of ICD-10-CM in the past? ■ ICD-10-CM codes were not utilized under RUGs as a direct impact on reimbursement ■ Diagnoses which impacted RUGs were primarily check-offs in section I, e. g. hemiplegia, Diabetes Mellitus or incorporated in other section of the MDS e. g.
Protein-Calorie Malnutrition (PCM) refers to a nutritional status in which reduced availability of nutrients leads to changes in body composition and function [1].
E44.0ICD-10 code E44. 0 for Moderate protein-calorie malnutrition is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .
Unspecified severe protein-calorie malnutrition.
The diagnosis codes of E44. 0 (moderate malnutrition), E44. 1 (mild malnutrition), and E46 (malnutrition, unspecified) complete the section of malnutrition.
There is a general rule that 25gr-30gr of protein per meal is the max protein your body can digest, any more is not utilized. At three meals per day that is 75 to 90gr-MAX. Your information suggests that 90gr to 130gr per day is moderate for my height (6ft).
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.
E43Coding 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.
ICD-10 Code for Atherosclerotic heart disease of native coronary artery without angina pectoris- I25. 10- Codify by AAPC.
ICD-10 code M62. 81 for Muscle weakness (generalized) is a medical classification as listed by WHO under the range - Soft tissue disorders .
Malnutrition ICD-10-CM Code range E40-E46.
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.
E46E46 - Unspecified Protein-calorie Malnutrition [Internet]. In: ICD-10-CM.