Is ICD-10-CM code E53 billable?

No, E53 (Deficiency of other B group vitamins) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code E53 belong to?

E53 belongs to Chapter 4 of the ICD-10-CM tabular list: E00–E89 (Endocrine, Nutritional and Metabolic Diseases).

E53Not billable, use a more specific code below

Deficiency of other B group vitamins

In Other nutritional deficiencies (E50-E64), chapter 4: Endocrine, Nutritional and Metabolic Diseases

4 billable codes under E53: 1 is a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

Instructional notes

Excludes1: not coded here, use a different code

sequelae of vitamin B deficiency (E64.8)

Also applies, from Other nutritional deficiencies (E50-E64)

These notes sit on E50-E64 and apply to every code under it, including E53.

Excludes2: not included here, code separately if applicable

nutritional anemias (D50-D53)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers diabetes mellitus coding, including type, insulin and drug use, pump malfunction and secondary diabetes, plus obesity and obesity class codes.

Diabetes mellitus (page 39)
Obesity (page 42)

Read Section I.C.4 (page 39)

All codes under E53

E53 can't be used on a claim. Pick a billable code below; grey headings group them.

E53 MS-DRGs

As the principal diagnosis, all 4 billable codes under E53 group to MS-DRG 640 or 641 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to E53

Notes on these codes point to E53.

D51 Excludes2: deficiency of other B group vitamins (E53-)
F06.7 Code First: vitamin B deficiency (E53.-)
G32.8 Code First: cerebral degeneration (due to) vitamin B deficiency, except thiamine (E52-E53.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

B Vitamins

The B vitamins are: These vitamins help the process your body uses to get or make energy from the food you eat. They also help form red blood cells. You can get B vitamins from proteins such as fish, poultry, meat, eggs, and dairy products. Leafy green vegetables, beans, and peas also have B vitamins. Many cereals and some breads have added B vitamins.

Malnutrition

Malnutrition means that your body isn't getting enough calories or the right balance of nutrients to stay healthy. This can happen if you don't get enough protein, carbohydrates, and fats, eat too much unhealthy food, or don't get the vitamins and minerals your body needs.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.