E64.0
E64.0: Sequelae of protein-calorie malnutrition
Billable / specific codeICD-10-CMPOA exempt
E64.0 is a billable, specific ICD-10-CM code for sequelae of protein-calorie malnutrition. It is valid for submission on a claim.
Check E64.0 with the rest of the claim: free scrubberExcludes2: 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.
- retarded development following protein-calorie malnutrition (E45)
Other codes that can never be billed with E64.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- E61Deficiency of other nutrient elements
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
E64.0 is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56232Billing and Coding: Foot Care
- A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
- A56416Billing and Coding: Assays for Vitamins and Metabolic Function
- A56680Billing and Coding: Routine Foot Care
Alphabetic index entries that lead here
- Sequelae›protein-energy malnutrition
Code history
Unchanged in every release from FY2024 to FY2027.