2026 ICD-10-CM Diagnosis Code E53.1Pyridoxine deficiency

ICD-10-CM CodesE00–E89E50-E64E53

ICD-10-CM E53.1
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

E53.1 is a billable ICD-10-CM diagnosis code for pyridoxine deficiency. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 640 through 641. Coders also document this condition as anemia due to vitamin B>6< deficiency. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Nutritional deficiencies.

Code Identity

ICD-10-CM Code
E53.1
Billable Status
Yes — Valid for Submission
Code Describes
Pyridoxine deficiency
Short Description
Pyridoxine deficiency
Same as the full description in the CMS dataset.
Parent Code
Deficiency of other B group vitamins

Code Classification

ChapterE00–E89Endocrine, nutritional and metabolic diseases
SectionE50-E64Other nutritional deficiencies
CategoryE53Deficiency of other B group vitamins
This CodeE53.1Pyridoxine deficiency

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Anemia due to vitamin B>6< deficiency
  • Inadequate intake of vitamin B6 and/or vitamin B6 derivative
  • Non megaloblastic anemia associated with nutritional deficiency
  • Vitamin B6 deficiency

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Vitamin B6 deficiency

Type 1 Excludes

  • pyridoxine-responsive sideroblastic anemia D64.3

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Avitaminosis(multiple)
      • B6
    • Deficiency, deficient
      • pyracin (alpha) (beta)
    • Deficiency, deficient
      • pyridoxal
    • Deficiency, deficient
      • pyridoxamine
    • Deficiency, deficient
      • pyridoxine (derivatives)
    • Deficiency, deficient
      • vitamin (multiple) NOS
        • B6
    • Dependence(on) (syndrome)
      • vitamin B6
    • Polyneuropathy(peripheral)
      • in (due to)
        • deficiency (of)
          • vitamin B6
    • Syndrome
      • vitamin B6 deficiency

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR END007
Nutritional deficiencies
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

B Vitamins

The B vitamins are:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert E53.1 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
266.1 Vitamin b6 deficiency
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About E53.1Overview

Is E53.1 (Deficiency of other B group vitamins) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report pyridoxine deficiency on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does E53.1 group to?

When pyridoxine deficiency is the principal diagnosis on an inpatient stay, it groups to MS-DRG 640, 641, with relative weights from 0.7782 to 1.3356 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of E53.1?

Under the General Equivalence Mappings, pyridoxine deficiency converts to ICD-9-CM 266.1 (vitamin b6 deficiency). The mapping is a direct match.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.