E40

E40: Kwashiorkor

Billable / specific codeICD-10-CM

E40 is a billable, specific ICD-10-CM code for kwashiorkor. It is valid for submission on a claim.

Check E40 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

marasmic kwashiorkor (E42)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Severe malnutrition with nutritional edema with dyspigmentation of skin and hair

Other codes that can never be billed with E40

Their own Excludes1 notes name this code, so the conflict is not listed above.

Z72.4Inappropriate diet and eating habits
R63.6Underweight

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

E40 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A57189Billing and Coding: Serum Magnesium
A57755Billing and Coding: Vitamin B<sub>12</sub> Injections
A59186Billing and Coding: Magnesium

Alphabetic index entries that lead here

Kwashiorkor
Pluricarential syndrome of infancy
Polycarential syndrome of infancy
Malnutrition›malignant
Syndrome›pluricarential of infancy
Syndrome›plurideficiency
Syndrome›polycarential of infancy
Edema, edematous›nutritional›with dyspigmentation, skin and hair
Malnutrition›severe›with›kwashiorkor
Malnutrition›degree›severe›with›kwashiorkor
Malnutrition›protein›calorie›severe›with›kwashiorkor
Malnutrition›protein›energy›severe›with›kwashiorkor

Code history

Unchanged in every release from FY2024 to FY2027.