Valid for Submission
E46 is a billable diagnosis code used to specify a medical diagnosis of unspecified protein-calorie malnutrition. The code E46 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 E46 might also be used to specify conditions or terms like acute disease or injury-related malnutrition, acute malnutrition in adolescence, acute malnutrition in childhood, acute malnutrition in infancy, child neglect , chronic disease-related malnutrition, etc.
Unspecified diagnosis codes like E46 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 E46:
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.
- Malnutrition NOS
- Protein-calorie imbalance NOS
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- nutritional deficiency NOS E63.9
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 E46 are found in the index:
- - Calorie deficiency or malnutrition - See Also: Malnutrition; - E46
- - Cataract (cortical) (immature) (incipient) - H26.9
- - Nutrition deficient or insufficient - See Also: Malnutrition; - E46
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Acute disease or injury-related malnutrition
- Acute malnutrition in adolescence
- Acute malnutrition in childhood
- Acute malnutrition in infancy
- Child neglect
- Chronic disease-related malnutrition
- Coma due to malnutrition-related diabetes mellitus
- Deficiency of macronutrients
- Diabetes mellitus associated with pancreatic disease
- Diabetic ketoacidosis
- Disorder of eye due to malnutrition related diabetes mellitus
- Disorder of nervous system due to malnutrition related diabetes mellitus
- Disorder of vision due to secondary diabetes mellitus
- Fibrocalculous pancreatic diabetes
- Generalized redundant skin due to malnutrition
- Gingival disease due to malnutrition
- Hair changes due to malnutrition
- Hypertrichosis in malnutrition
- Hypoalbuminemia due to protein calorie malnutrition
- Ketoacidosis due to secondary diabetes mellitus
- Malnutrition due to child maltreatment
- Malnutrition related diabetes mellitus
- Malnutrition-dehydration cataract
- Malnutrition-related diabetes mellitus - fibrocalculous
- Malnutrition-related diabetes mellitus with ketoacidosis
- Malnutrition-related diabetes mellitus with peripheral circulatory complications
- Malnutrition-related diabetes mellitus with renal complications
- Malnutrition-related diabetes mellitus without complications
- Multiple complications due to malnutrition related diabetes
- Nutritional hair color change
- Nutritional maltreatment of child
- Nutritional myopathy
- Nutritionally compromised
- Pre-existing malnutrition-related diabetes mellitus
- Protein deficiency disease
- Protein deficiency myopathy
- Protein-deficient diabetes mellitus
- Redundant skin
- Skin changes due to malnutrition
- Starvation-related malnutrition
- PROTEIN ENERGY MALNUTRITION-. the lack of sufficient energy or protein to meet the body's metabolic demands as a result of either an inadequate dietary intake of protein intake of poor quality dietary protein increased demands due to disease or increased nutrient losses.
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 E46 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code E46 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]