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E41

E41: Nutritional marasmus

Billable / specific codeICD-10-CM

E41 is a billable, specific ICD-10-CM code for nutritional marasmus. It is valid for submission on a claim.

Check E41 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 marasmus

Other codes that can never be billed with E41

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

  • R64Cachexia
  • E88.AWasting disease (syndrome) due to underlying condition

Risk adjustment

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

Medicare coverage

E41 is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
  • A56416Billing and Coding: Assays for Vitamins and Metabolic Function
  • A56798Billing and Coding: Vitamin D Assay Testing
  • A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy

Alphabetic index entries that lead here

  • Athrepsia
  • Marasmus
  • Pedatrophia
  • Atrophy, atrophic›infantile
  • Marasmus›due to malnutrition
  • Marasmus›intestinal
  • Marasmus›nutritional
  • Atrophy, atrophic›nutritional›with marasmus
  • Deficiency, deficient›calorie, severe›with marasmus
  • Wasting›extreme›with marasmus
  • Malnutrition›severe›intermediate form›marasmus
  • Disease, diseased›wasting NEC›due to›malnutrition›with marasmus

Code history

Unchanged in every release from FY2024 to FY2027.

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.