E43

E43: Unspecified severe protein-calorie malnutrition

Billable / specific codeICD-10-CM

E43 is a billable, specific ICD-10-CM code for unspecified severe protein-calorie malnutrition. It is valid for submission on a claim.

Check E43 with the rest of the claim: free scrubber

Inclusion terms

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

Starvation edema

Risk adjustment

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

Medicare coverage

E43 is named in 8 Medicare coverage policies: 8 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
A57414Billing and Coding: Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic)

Alphabetic index entries that lead here

Anasarca›nutritional
Atrophy, atrophic›nutritional
Deficiency, deficient›calorie, severe
Emaciation›due to malnutrition
Malnutrition›severe(protein-energy)
Wasting›extreme(due to malnutrition)
Malnutrition›degree›severe(protein-energy)
Malnutrition›degree›third
Disease, diseased›wasting NEC›due to›malnutrition
Malnutrition›protein›calorie›severe
Malnutrition›protein›energy›severe
Wasting›disease›due to›malnutrition

Code history

Unchanged in every release from FY2024 to FY2027.