MCMedicalCodingSoftware
E61

E61: Deficiency of other nutrient elements

Non-billable headerICD-10-CM

E61 is a non-billable header ICD-10-CM code for deficiency of other nutrient elements. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • disorders of mineral metabolism (E83.-)
  • iodine deficiency related thyroid disorders (E00-E02)
  • sequelae of malnutrition and other nutritional deficiencies (E64.-)

Use additional code

Add a secondary code to capture the detail described below.

  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Other codes that can never be billed with E61

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • R79.0Abnormal level of blood mineral
  • T45.4X6Underdosing of iron and its compounds
  • T45.4X6AUnderdosing of iron and its compounds, initial encounter
  • T45.4X6DUnderdosing of iron and its compounds, subsequent encounter
  • T45.4X6SUnderdosing of iron and its compounds, sequela
  • E83Disorders of mineral metabolism

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead E61

10 child codes. Green means billable.

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.