Is E41 a billable ICD-10-CM code?

Yes. E41 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does E41 sit in the tabular list?

Endocrine, nutritional and metabolic diseases (E00-E89), in the block Malnutrition (E40-E46).

What cannot be coded together with E41?

E41 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

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.

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

These codes carry an Excludes1 note pointing at E41. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E41 alone.

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

Risk adjustment

E41 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

E41 is named in 11 Medicare coverage policies — 11 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

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

How E41 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to E41.

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

Questions about E41

Is E41 a billable ICD-10-CM code?: Yes. E41 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does E41 sit in the tabular list?: Endocrine, nutritional and metabolic diseases (E00-E89), in the block Malnutrition (E40-E46).
What cannot be coded together with E41?: E41 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.