2026 ICD-10-CM Diagnosis Code E54Ascorbic acid deficiency

ICD-10-CM CodesE00–E89E50-E64E54

ICD-10-CM E54
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

E54 is a billable ICD-10-CM diagnosis code for ascorbic acid 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. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Nutritional deficiencies.

Code Identity

ICD-10-CM Code
E54
Billable Status
Yes — Valid for Submission
Code Describes
Ascorbic acid deficiency
Chapter
E50-E64
Other nutritional deficiencies

Code Classification

ChapterE00–E89Endocrine, nutritional and metabolic diseases
SectionE50-E64Other nutritional deficiencies
CategoryE54Ascorbic acid deficiency
This CodeE54Ascorbic acid deficiency

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Ascorbic acid deficiency
  • Ascorbic acid deficiency with hemorrhage
  • Disorder of vitamin C
  • Gingival disease due to ascorbic acid deficiency
  • Inadequate intake of ascorbic acid
  • Inadequate intake of carbohydrate
  • Infantile scurvy

Tabular List NotesGuidance

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

Inclusion Terms

  • Deficiency of vitamin C
  • Scurvy

Type 1 Excludes

  • scorbutic anemia D53.2
  • sequelae of vitamin C deficiency E64.2

Index to Diseases and InjuriesGuidance

External Cause of Injuries IndexGuidance

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

    • Acid
      • deficiency
        • ascorbic
    • Arthritis, arthritic(acute) (chronic) (nonpyogenic) (subacute)
      • scorbutic
    • Barlow's disease
    • Cheadle's disease
    • Deficiency, deficient
      • ascorbic acid
    • Deficiency, deficient
      • vitamin (multiple) NOS
        • C
    • Inflammation, inflamed, inflammatory(with exudation)
      • alveoli, teeth
        • scorbutic
    • Inflammation, inflamed, inflammatory(with exudation)
      • scorbutic, alveoli, teeth
    • Purpura
      • scorbutic
    • Scurvy, scorbutic
    • Scurvy, scorbutic
      • gum
    • Scurvy, scorbutic
      • infantile

Clinical ClassificationClinical

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

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

Clinical InformationClinical

  • Ascorbic Acid Deficiency

    a condition due to a dietary deficiency of ascorbic acid (vitamin c), characterized by malaise, lethargy, and weakness. as the disease progresses, joints, muscles, and subcutaneous tissues may become the sites of hemorrhage. ascorbic acid deficiency frequently develops into scurvy in young children fed unsupplemented cow's milk exclusively during their first year. it develops also commonly in chronic alcoholism. (cecil textbook of medicine, 19th ed, p1177)
  • Scurvy

    an acquired blood vessel disorder caused by severe deficiency of vitamin c (ascorbic acid) in the diet leading to defective collagen formation in small blood vessels. scurvy is characterized by bleeding in any tissue, weakness, anemia, spongy gums, and a brawny induration of the muscles of the calves and legs.

Patient EducationClinical

Malnutrition

Malnutrition means that your body isn't getting enough calories or the right balance of nutrients to stay healthy. This can happen if you don't get enough protein, carbohydrates, and fats, eat too much unhealthy food, or don't get the vitamins and minerals your body needs.

The full article covers:

  • What is malnutrition?
  • What are the types of malnutrition?
  • What causes malnutrition?
  • Who is at risk for developing malnutrition?
  • What are the symptoms of malnutrition?
  • How is malnutrition diagnosed?
  • What are the treatments for malnutrition?
  • Can malnutrition be prevented?

Read the full article at MedlinePlus

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

Convert E54 to ICD-9-CMHistory

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

ICD-9-CM
267 Ascorbic acid deficiency
Approximate The match is approximate rather than exact.

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 E54Overview

Is E54 (Ascorbic acid deficiency) a billable code?

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

What MS-DRG does E54 group to?

When ascorbic acid 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 E54?

Under the General Equivalence Mappings, ascorbic acid deficiency converts to ICD-9-CM 267 (ascorbic acid deficiency). The mapping is approximate, so confirm the match fits the documentation.

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.