2025 ICD-10-CM code E74.3
Other disorders of intestinal carbohydrate absorption
Medical necessity is established by the signs, symptoms, and diagnostic findings that point to impaired carbohydrate absorption.It's crucial to document the impact on the patient's nutritional status and overall health.If the condition is secondary to another condition (e.g., chemotherapy), this relationship should be clearly documented.
Diagnosis is typically made by healthcare providers based on patient history, physical exam, and symptoms like abdominal distention, bloating, cramps, and diarrhea. Further diagnostic tests may be necessary depending on the specific suspected disorder.
- 4: Endocrine, nutritional and metabolic diseases (E00-E89)
- E74: Disorders of carbohydrate metabolismE74.3: Other disorders of intestinal carbohydrate absorption
In simple words: This refers to problems where your body can't absorb sugars and starches from the food you eat, leading to digestive issues.
This code represents disorders of intestinal carbohydrate absorption not otherwise specified.It includes conditions where the small intestines cannot properly absorb carbohydrates, leading to various symptoms.
Example 1: A patient presents with chronic diarrhea, bloating, and abdominal pain after consuming carbohydrate-rich meals. After ruling out other causes like lactose intolerance, celiac disease, and cystic fibrosis, the physician diagnoses them with a disorder of intestinal carbohydrate absorption, unspecified, and codes it as E74.3., A patient with a history of short bowel syndrome experiences worsening diarrhea and malnutrition. Tests reveal impaired carbohydrate absorption, and E74.3 is used to document this specific metabolic complication., A patient undergoing chemotherapy experiences severe gastrointestinal side effects, including malabsorption of carbohydrates.In the absence of a more specific diagnosis, E74.3 is used to code the carbohydrate absorption disorder secondary to chemotherapy.
Documentation should include details of the patient's symptoms, dietary history, relevant diagnostic tests (e.g., stool analysis, breath tests, endoscopic biopsies), and any other conditions ruled out. It's important to document why a more specific diagnosis could not be made.
** Excludes1: diabetes mellitus (E08-E13), hypoglycemia NOS (E16.2), increased secretion of glucagon (E16.3), mucopolysaccharidosis (E76.0-E76.3). Excludes2: lactose intolerance (E73.-).For accurate coding, it is important to distinguish between primary disorders of carbohydrate absorption and those secondary to other conditions.
- Specialties:Gastroenterology, Endocrinology, Internal Medicine, Nutrition/Dietetics
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home