Valid for Submission
E43 is a billable diagnosis code used to specify a medical diagnosis of unspecified severe protein-calorie malnutrition. The code E43 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code E43 might also be used to specify conditions or terms like chronic disease-related malnutrition, chronic disease-related malnutrition, edema co-occurrent and due to nutritional deficiency, emaciated, malnutrition , nutritional edema without dyspigmentation of skin and/or hair, etc.
Unspecified diagnosis codes like E43 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code E43:
Inclusion TermsInclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Starvation edema
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code E43 are found in the index:
- - Malnutrition - E46
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Chronic disease-related malnutrition
- Chronic disease-related malnutrition
- Edema co-occurrent and due to nutritional deficiency
- Nutritional edema without dyspigmentation of skin AND/OR hair
- Nutritional wasting
- Severe acute malnutrition in infancy childhood and adolescence
- Severe malnutrition due to type 1 diabetes mellitus
- Severe malnutrition due to type 2 diabetes mellitus
- Severe protein-calorie malnutrition
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|640||MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC||10||1.2278|
|641||MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC||10||0.753|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert E43 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code E43 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
Food provides the energy and nutrients you need to be healthy. If you don't get enough nutrients -- including proteins, carbohydrates, fats, vitamins, and minerals - you may suffer from malnutrition.
Causes of malnutrition include:
- Lack of specific nutrients in your diet. Even the lack of one vitamin can lead to malnutrition.
- An unbalanced diet
- Certain medical problems, such as malabsorption syndromes and cancers
Symptoms may include fatigue, dizziness, and weight loss. Or, you may have no symptoms. To diagnose the cause of the problem, your doctor may do blood tests and a nutritional assessment. Treatment may include replacing the missing nutrients and treating the underlying cause.
[Learn More in MedlinePlus]