E55.0
E55.0: Rickets, active
Billable / specific codeICD-10-CM
E55.0 is a billable, specific ICD-10-CM code for rickets, active. It is valid for submission on a claim.
Check E55.0 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Infantile osteomalacia
- Juvenile osteomalacia
Other codes that can never be billed with E55.0
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
E55.0 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56416Billing and Coding: Assays for Vitamins and Metabolic Function
- A56798Billing and Coding: Vitamin D Assay Testing
- A56841Billing and Coding: Vitamin D; 25 hydroxy, includes fraction(s), if performed
- A57484Billing and Coding: Vitamin D Assay Testing
Alphabetic index entries that lead here
- Rickets(active) (acute) (adolescent) (chest wall) (congenital) (current) (infantile) (intestinal)
- Rosary, rachitic
- Calciferol deficiency›with rickets
- Disease, diseased›English(rickets)
- Morbus›angelicus, anglorum
- Scurvy, scorbutic›rickets
- Tetany›associated with rickets
- Avitaminosis›D›with rickets
Code history
Unchanged in every release from FY2024 to FY2027.