E42
E42: Marasmic kwashiorkor
Billable / specific codeICD-10-CM
E42 is a billable, specific ICD-10-CM code for marasmic kwashiorkor. It is valid for submission on a claim.
Check E42 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Intermediate form severe protein-calorie malnutrition
- Severe protein-calorie malnutrition with signs of both kwashiorkor and marasmus
Other codes that can never be billed with E42
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
E42 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›marasmic, marasmus type
- Malnutrition›severe›intermediate form
- Deficiency, deficient›calorie, severe›with marasmus›and kwashiorkor
- Malnutrition›degree›severe›intermediate form
- Malnutrition›protein›calorie›severe›intermediate form
- Malnutrition›protein›energy›severe›intermediate form
- Malnutrition›severe›intermediate form›with›kwashiorkor(and marasmus)
- Malnutrition›severe›with›kwashiorkor›with marasmus
- Malnutrition›degree›severe›intermediate form›with›kwashiorkor
- Malnutrition›protein›calorie›severe›intermediate form›with›kwashiorkor(and marasmus)
- Malnutrition›protein›energy›severe›intermediate form›with›kwashiorkor(and marasmus)
Code history
Unchanged in every release from FY2024 to FY2027.