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K90.49

K90.49: Malabsorption due to intolerance, not elsewhere classified

Billable / specific codeICD-10-CM

K90.49 is a billable, specific ICD-10-CM code for malabsorption due to intolerance, not elsewhere classified. It is valid for submission on a claim.

Check K90.49 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Malabsorption due to intolerance to carbohydrate
  • Malabsorption due to intolerance to fat
  • Malabsorption due to intolerance to protein
  • Malabsorption due to intolerance to starch

Excludes1 inherited from the categories above K90.49

A category’s note binds every code beneath it.

Written on K90: Intestinal malabsorption

  • intestinal malabsorption following gastrointestinal surgery (K91.2)

Excludes2 inherited from the categories above K90.49

Not part of this code, but both may be coded when both are present.

Written on K90.4: Other malabsorption due to intolerance

  • celiac gluten-sensitive enteropathy (K90.0)
  • lactose intolerance (E73.-)

Other codes that can never be billed with K90.49

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

  • K59Other functional intestinal disorders

Risk adjustment

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

Medicare coverage

K90.49 is named in 15 Medicare coverage policies: 15 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
  • A56416Billing and Coding: Assays for Vitamins and Metabolic Function
  • A56421Billing and Coding: CT of the Abdomen and Pelvis
  • A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy

Alphabetic index entries that lead here

  • Absorption›carbohydrate, disturbance
  • Absorption›fat, disturbance
  • Absorption›protein, disturbance
  • Absorption›starch, disturbance
  • Enteropathy›protein-losing
  • Intolerance›carbohydrate
  • Intolerance›fat NEC
  • Intolerance›food
  • Intolerance›milk NEC
  • Intolerance›protein
  • Intolerance›starch NEC
  • Malabsorption›carbohydrate

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under K90.4

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.