Is E61.4 a billable ICD-10-CM code?

Yes. E61.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does E61.4 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 E61.4?

E61.4 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above E61.4 (E61) and apply to it just the same.

E61.4

E61.4 — Chromium deficiency

Billable / specific codeICD-10-CM

E61.4 is a billable, specific ICD-10-CM code for chromium deficiency. It is valid for submission on a claim.

Excludes1 inherited from the categories above E61.4

These are not written on E61.4, but they bind it: a note on a category applies to every code beneath it. Billing E61.4 with anything listed here is a denial.

Written on E61 — Deficiency of other nutrient elements

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

Risk adjustment

E61.4 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.

How E61.4 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 E61.4.

Deficiency, deficient›chromium

Code history

E61.4 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share E61. If E61.4 is not quite right, the correct code is usually one of these.

Questions about E61.4

Is E61.4 a billable ICD-10-CM code?: Yes. E61.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does E61.4 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 E61.4?: E61.4 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above E61.4 (E61) and apply to it just the same.