E53.8 — Deficiency of other specified B group vitamins
E53.8 is a billable, specific ICD-10-CM code for deficiency of other specified b group vitamins. 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.
- folate deficiency anemia (D52.-)
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Biotin deficiency
- Cyanocobalamin deficiency
- Folate deficiency
- Folic acid deficiency
- Pantothenic acid deficiency
- Vitamin B12 deficiency
Other codes that can never be billed with E53.8
These codes carry an Excludes1 note pointing at E53.8. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E53.8 alone.
Risk adjustment
E53.8 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
E53.8 is named in 13 Medicare coverage policies — 13 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52996Billing and Coding: Routine Foot Care
- A54095Billing and Coding: Nerve Conduction Studies and Electromyography
- A56416Billing and Coding: Assays for Vitamins and Metabolic Function
- A56675Billing and Coding: Homocysteine Level, Serum
How E53.8 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 E53.8.
- Chacaleh
- Electric feet syndrome
- Melalgia, nutritional
- Avitaminosis›B12
- Deficiency, deficient›biotin
- Deficiency, deficient›choline
- Deficiency, deficient›cyanocobalamin
- Deficiency, deficient›folate
- Deficiency, deficient›folic acid
- Deficiency, deficient›inositol(B complex)
- Deficiency, deficient›pantothenic acid
- Degeneration, degenerative›combined(spinal cord) (subacute)
Related codes at this level
Codes that share E53. If E53.8 is not quite right, the correct code is usually one of these.
Questions about E53.8
- Is E53.8 a billable ICD-10-CM code?
- Yes. E53.8 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does E53.8 sit in the tabular list?
- Endocrine, nutritional and metabolic diseases (E00-E89), in the block Other nutritional deficiencies (E50-E64).
- What cannot be coded together with E53.8?
- E53.8 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.