2025 ICD-10-CM code E64
This code represents the long-term complications or conditions resulting from malnutrition and other nutritional deficiencies.
Medical necessity for the current condition being treated is supported by the documentation of the sequelae and its relationship to the prior malnutrition.This link justifies the need for intervention and treatment of the current condition.
Clinicians must consider various factors contributing to malnutrition, including dietary habits, underlying medical conditions affecting nutrient absorption or metabolism, and socioeconomic circumstances. Diagnosis involves assessing nutritional status through physical examination, anthropometric measurements, biochemical tests, and dietary evaluation. Treatment focuses on addressing the underlying cause and providing nutritional support tailored to the individual's needs, including dietary modifications, supplementation, or other interventions as appropriate.
In simple words: This code is used for health problems that happen after someone has been malnourished. These problems can be long-lasting and may occur even after the person is no longer malnourished.
This category indicates conditions caused by malnutrition (categories E43, E44, E46, E50-E63)."Sequelae" includes specified conditions and late effects of diseases classified above, even if the original disease is no longer present. Code first the condition resulting from the malnutrition.
Example 1: A patient with a history of severe anorexia nervosa (F50.2) now presents with osteoporosis (M81.0). The osteoporosis is a direct result of long-term malnutrition. E64 is coded secondary to M81.0, with F50.2 also listed., A child with a history of Kwashiorkor (E40) now experiences delayed cognitive development (F88). E64.0 is coded secondary to F88 to indicate the malnutrition's role in the developmental delay., A patient with a history of Crohn's disease (K50.0) resulting in malabsorption now has peripheral neuropathy (G62.8). E64.8 is coded secondary to G62.8 to show the malnutrition secondary to Crohn's led to the neuropathy.
Documentation should clearly establish the causal link between the current condition and the prior malnutrition.Supporting documentation might include history of conditions causing malnutrition (e.g., eating disorders, malabsorption syndromes), prior anthropometric measurements, dietary history, and evidence of nutritional deficiencies.
** Excludes1: transitory endocrine and metabolic disorders specific to newborn (P70-P74)Excludes2: nutritional anemias (D50-D53)
- Specialties:Internal Medicine, Family Medicine, Pediatrics, Gastroenterology, Endocrinology, Nutrition, Dietetics
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Skilled Nursing Facility, Nursing Facility, Hospice