ICD-10-CM Code E52

Valid for Submission

E52 is a billable code used to specify a medical diagnosis of niacin deficiency [pellagra]. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code E52 might also be used to specify conditions or terms like alcoholic pellagra, deficiency of isocitrate dehydrogenase , drug-induced pellagra, drug-induced photosensitivity, inadequate dietary intake of niacin, niacin deficiency, etc

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 guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code E52:

Inclusion Terms

Inclusion 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.

• Niacin (-tryptophan) deficiency
• Nicotinamide deficiency
• Pellagra (alcoholic)

Type 1 Excludes

Type 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.

• sequelae of niacin deficiency E64.8

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 E52 are found in the index:

• - Acid
  • - deficiency
    • - amide nicotinic - E52
    • - nicotinic - E52

• - Alcohol, alcoholic, alcohol-induced
  • - pellagra - E52

• - Avitaminosis (multiple) - See Also: Deficiency, vitamin; - E56.9
  • - B - E53.9
    • - with
      • - pellagra - E52
  • - nicotinic acid - E52

• - Cheilosis (angular) - K13.0
  • - with pellagra - E52

• - Deficiency, deficient
  • - niacin (amide) (-tryptophan) - E52
  • - nicotinamide - E52
  • - nicotinic acid - E52
  • - vitamin (multiple) NOS - E56.9
    • - B (complex) NOS - E53.9
      • - with
        • - pellagra - E52
    • - nicotinic - E52
    • - PP (pellagra-preventing) - E52

• - Dementia (degenerative (primary)) (old age) (persisting) - F03.90
  • - in (due to)
    • - niacin deficiency - E52
      • - with behavioral disturbance - E52
    • - pellagra - E52
      • - with behavioral disturbance - E52

• - Dermatitis (eczematous) - L30.9
  • - pellagrous - E52

• - Encephalopathy (acute) - G93.40
  • - pellagrous - E52

• - Erythema, erythematous (infectional) (inflammation) - L53.9
  • - endemic - E52

• - Gingivitis - K05.10
  • - pellagrous - E52

• - Glossitis (chronic superficial) (gangrenous) (Moeller's) - K14.0
  • - pellagrous - E52

• - Niacin (amide) deficiency - E52

• - Nicotinic acid deficiency - E52

• - Pellagra (alcoholic) (with polyneuropathy) - E52

• - Polioencephalopathy, superior hemorrhagic - E51.2
  • - with
    • - pellagra - E52

• - Polyneuropathy (peripheral) - G62.9
  • - in (due to)
    • - pellagra - E52

• - Syndrome - See Also: Disease;
  • - pellagroid - E52

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

• Alcoholic pellagra
• Deficiency of isocitrate dehydrogenase
• Drug-induced pellagra
• Drug-induced photosensitivity
• Inadequate dietary intake of niacin
• Niacin deficiency
• Pellagra
• Pellagra neuropathy
• Polyneuropathy in pellagra
• Thiamine and niacin deficiency states

Diagnostic Related Groups

The ICD-10 code E52 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2019 through 09/30/2020.

• 640 - MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC
• 641 - MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC

Convert E52 to ICD-9

• 265.2 - Pellagra

Code Classification

• Endocrine, nutritional and metabolic diseases (E00–E90)
  • Other nutritional deficiencies (E50-E64)
    • Niacin deficiency [pellagra] (E52)

Code History

• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
  (First year ICD-10-CM implemented into the HIPAA code set)
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

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