Is ICD-10-CM code E61 billable?

No, E61 (Deficiency of other nutrient elements) 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 E61 belong to?

E61 belongs to Chapter 4 of the ICD-10-CM tabular list: E00–E89 (Endocrine, Nutritional and Metabolic Diseases).

E61Not billable, use a more specific code below

Deficiency of other nutrient elements

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

10 billable codes under E61: none are a CC or MCC; none map to an HCC.

Instructional notes

Excludes1: not coded here, use a different code

disorders of mineral metabolism (E83.-)
iodine deficiency related thyroid disorders (E00-E02)
sequelae of malnutrition and other nutritional deficiencies (E64.-)

Use additional code: add a second code for this, listed after this one

code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

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

These notes sit on E50-E64 and apply to every code under it, including E61.

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 E61

E61 can't be used on a claim. Pick a billable code below; grey headings group them.

E61 MS-DRGs

As the principal diagnosis, all 10 billable codes under E61 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 E61

Notes on these codes point to E61.

E83 Excludes1: dietary mineral deficiency (E58-E61)
R79.0 Excludes1: nutritional mineral deficiency (E58-E61)

About the condition

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

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.

Minerals

Minerals are important for your body to stay healthy. Your body uses minerals for many different jobs, including keeping your bones, muscles, heart, and brain working properly. Minerals are also important for making enzymes and hormones.

Code history

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