E68Billable, valid for claims from October 1, 2026

Sequelae of hyperalimentation

In Overweight, obesity and other hyperalimentation (E65-E68), chapter 4: Endocrine, Nutritional and Metabolic Diseases

  • E68 is billable and valid on claims for FY 2027. If the record has more detail, check the other codes under E65-E68 below.
  • As a secondary diagnosis it is not a CC or MCC, so it doesn't raise the MS-DRG payment.
  • Doesn't count toward a Medicare Advantage risk score (no HCC in V28).
  • AHRQ's Chronic Condition Indicator classes it as not chronic (an acute or short-term condition).

Also indexed as: Sequelae, hyperalimentation

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Instructional notes

Code first: code the underlying condition first, then this code

  • condition resulting from (sequela) of hyperalimentation

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.

Read Section I.C.4 (page 39)

Other codes under E65-E68

Overweight, obesity and other hyperalimentation (E65-E68)

E68 MS-DRGs

As the principal diagnosis, E68 groups 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.

Related conditions

Grouped by AHRQ's Clinical Classifications Software Refined (CCSR), which sorts every diagnosis code into clinically meaningful categories.

E68 is in Sequela of malnutrition and other nutritional deficiencies (END017, its default category), with 7 codes. Others in it:

  • E64.0 Sequelae of protein-calorie malnutrition
  • E64.1 Sequelae of vitamin A deficiency
  • E64.2 Sequelae of vitamin C deficiency
  • E64.3 Sequelae of rickets
  • E64.8 Sequelae of other nutritional deficiencies
  • E64.9 Sequelae of unspecified nutritional deficiency

Medicare coverage articles listing E68

These 4 Medicare billing and coding articles list E68 as a diagnosis that supports medical necessity for the services they cover. From the CMS Medicare Coverage Database; check your own contractor's article before billing.

Other codes that refer to E68

Notes on these codes point to E68.

  • E67 Excludes1: sequelae of hyperalimentation (E68)

About the condition

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

Nutrition

Good nutrition means choosing foods and drinks that support your health. It involves regularly eating healthy foods that give your body the energy and nutrients it needs every day. Nutrients include proteins, carbohydrates, fats, vitamins, minerals, and water. Healthy eating can look different depending on your preferences, cultural traditions, and budget.

Read more about nutrition on MedlinePlus

Code history

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

ICD-9-CM equivalent

Legacy crosswalk from the CMS General Equivalence Mappings (last updated 2018).

  • 278.8 Other hyperalimentation (approximate)
ICD-9 to ICD-10 converter