What is PEM and what are the causes of Protein Energy Malnutrition?
What can be done to prevent malnutrition?
This critical and timely funding will enable UNICEF to procure lifesaving, ready-to-use therapeutic food (RUTF) for the treatment of 37,250 under-five children with severe acute malnutrition.
Malnutrition ICD-10-CM Code range E40-E46.
E44.00.
Code 261 also includes severe calorie deficiency and severe malnutrition, not otherwise specified. 262, Other severe protein-calorie malnutrition — includes nutritional edema without mention of dyspigmentation of the skin and hair.
ICD-10 code R68. 89 for Other general symptoms and signs is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
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.
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).
Protein energy malnutrition (PEM) is defined as an unintentional loss of 10% or more of body weight in a period of six months or less and/or serum albumin levels of less than 3.5 grams per decilitre (g/dl) (Hudson et al., 2000).
Protein-calorie malnutrition is separated into two forms, kwashiorkor and marasmus. Kwashiorkor is a state of acute, severe protein-calorie malnutrition resulting in edema and hair changes, often accompanied by encephalopathy. Marasmus is the chronic form of this disorder and causes apathy and growth failure.
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.
R68. 89 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 R68. 89 became effective on October 1, 2021.
ICD-10 code Z00. 01 for Encounter for general adult medical examination with abnormal findings is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Encounter for screening for other metabolic disorders The 2022 edition of ICD-10-CM Z13. 228 became effective on October 1, 2021.
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.
Protein–energy malnutrition (PEM) or protein–calorie malnutrition refers to a form of malnutrition where there is inadequate calorie or protein intake.
DRG Group #640-641 - Misc disorders of nutrition, metabolism, fluids or electrolytes with MCC.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code E44.1. Click on any term below to browse the alphabetical index.
This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 263.1 was previously used, E44.1 is the appropriate modern ICD10 code.