Valid for Submission
E55.0 is a billable diagnosis code used to specify a medical diagnosis of rickets, active. The code E55.0 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code E55.0 might also be used to specify conditions or terms like acquired deformity of chest wall, acquired deformity of thoracic structure, active rickets, biochemical rickets, calcipenic type rickets , curvature of spine due to osteomalacia, 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 coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code E55.0:
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.
- Infantile osteomalacia
- Juvenile osteomalacia
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.
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 E55.0 are found in the index:
- - Avitaminosis (multiple) - See Also: Deficiency, vitamin; - E56.9
- - Rickets (active) (acute) (adolescent) (chest wall) (congenital) (current) (infantile) (intestinal) - E55.0
- - Rosary, rachitic - E55.0
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Acquired deformity of chest wall
- Acquired deformity of thoracic structure
- Active rickets
- Biochemical rickets
- Calcipenic type rickets
- Curvature of spine due to osteomalacia
- Glucoaminophosphaturia syndrome
- Glucoaminophosphaturia syndrome with rickets
- Hypocalcemic rickets
- Hypophosphatasia rickets
- Myopathy in osteomalacia
- Neonatal rickets
- O/E - rickety rosary
- Osteomalacia due to vitamin D deficiency
- Rachitic dwarf
- Rachitic rosary
Diagnostic Related Groups - MS-DRG Mapping
Convert E55.0 to ICD-9 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.
- Beriberi (Medical Encyclopedia)
- Kwashiorkor (Medical Encyclopedia)
- Malnutrition (Medical Encyclopedia)
- Pellagra (Medical Encyclopedia)
- Pica (Medical Encyclopedia)
- Scurvy (Medical Encyclopedia)
[Learn More in MedlinePlus]
Also called: Rachitis
Rickets causes soft, weak bones in children. It usually occurs when they do not get enough vitamin D, which helps growing bones absorb the minerals calcium and phosphorous. It can also happen when calcium or phosphorus levels are too low.
Your child might not get enough vitamin D if he or she
- Has dark skin
- Spends too little time outside
- Has on sunscreen all the time when out of doors
- Doesn't eat foods containing vitamin D because of lactose intolerance or a strict vegetarian diet
- Is breastfed without receiving vitamin D supplements
- Can't make or use vitamin D because of a medical disorder such as celiac disease
In addition to dietary rickets, children can get an inherited form of the disease. Symptoms include bone pain or tenderness, impaired growth, and deformities of the bones and teeth. Your child's doctor uses lab and imaging tests to make the diagnosis. Treatment is replacing the calcium, phosphorus, or vitamin D that are lacking in the diet. Rickets is rare in the United States.
- Rickets (Medical Encyclopedia)
[Learn More in MedlinePlus]
Vitamin D Deficiency
Also called: Hypovitaminosis D, Low Vitamin D
What is vitamin D deficiency?
Vitamin D deficiency means that you are not getting enough vitamin D to stay healthy.
Why do I need vitamin D and how do I get it?
Vitamin D helps your body absorb calcium. Calcium is one of the main building blocks of bone. Vitamin D also has a role in your nervous, muscle, and immune systems.
You can get vitamin D in three ways: through your skin, from your diet, and from supplements. Your body forms vitamin D naturally after exposure to sunlight. But too much sun exposure can lead to skin aging and skin cancer, so many people try to get their vitamin D from other sources.
How much vitamin D do I need?
The amount of vitamin D you need each day depends on your age. The recommended amounts, in international units (IU), are
- Birth to 12 months: 400 IU
- Children 1-13 years: 600 IU
- Teens 14-18 years: 600 IU
- Adults 19-70 years: 600 IU
- Adults 71 years and older: 800 IU
- Pregnant and breastfeeding women: 600 IU
People at high risk of vitamin D deficiency may need more. Check with your health care provider about how much you need.
What causes vitamin D deficiency?
You can become deficient in vitamin D for different reasons:
- You don't get enough vitamin D in your diet
- You don't absorb enough vitamin D from food (a malabsorption problem)
- You don't get enough exposure to sunlight.
- Your liver or kidneys cannot convert vitamin D to its active form in the body.
- You take medicines that interfere with your body's ability to convert or absorb vitamin D
Who is at risk of vitamin D deficiency?
Some people are at higher risk of vitamin D deficiency:
- Breastfed infants, because human milk is a poor source of vitamin D. If you are breastfeeding, give your infant a supplement of 400 IU of vitamin D every day.
- Older adults, because your skin doesn't make vitamin D when exposed to sunlight as efficiently as when you were young, and your kidneys are less able to convert vitamin D to its active form.
- People with dark skin, which has less ability to produce vitamin D from the sun.
- People with disorders such as Crohn's disease or celiac disease who don't handle fat properly, because vitamin D needs fat to be absorbed.
- People who have obesity, because their body fat binds to some vitamin D and prevents it from getting into the blood.
- People who have had gastric bypass surgery
- People with osteoporosis
- People with chronic kidney or liver disease.
- People with hyperparathyroidism (too much of a hormone that controls the body's calcium level)
- People with sarcoidosis, tuberculosis, histoplasmosis, or other granulomatous disease (disease with granulomas, collections of cells caused by chronic inflammation)
- People with some lymphomas, a type of cancer.
- People who take medicines that affect vitamin D metabolism, such as cholestyramine (a cholesterol drug), anti-seizure drugs, glucocorticoids, antifungal drugs, and HIV/AIDS medicines.
Talk with your health care provider if you are at risk for vitamin D deficiency. There is a blood test which can measure how much vitamin D is in your body.
What problems does vitamin D deficiency cause?
Vitamin D deficiency can lead to a loss of bone density, which can contribute to osteoporosis and fractures.
Severe vitamin D deficiency can also lead to other diseases. In children, it can cause rickets. Rickets is a rare disease that causes the bones to become soft and bend. African American infants and children are at higher risk of getting rickets. In adults, severe vitamin D deficiency leads to osteomalacia. Osteomalacia causes weak bones, bone pain, and muscle weakness.
Researchers are studying vitamin D for its possible connections to several medical conditions, including diabetes, high blood pressure, cancer, and autoimmune conditions such as multiple sclerosis. They need to do more research before they can understand the effects of vitamin D on these conditions.
How can I get more vitamin D?
There are a few foods that naturally have some vitamin D:
- Fatty fish such as salmon, tuna, and mackerel
- Beef liver
- Egg yolks
You can also get vitamin D from fortified foods. You can check the food labels to find out whether a food has vitamin D. Foods that often have added vitamin D include
- Breakfast cereals
- Orange juice
- Other dairy products, such as yogurt
- Soy drinks
Vitamin D is in many multivitamins. There are also vitamin D supplements, both in pills and a liquid for babies.
If you have vitamin D deficiency, the treatment is with supplements. Check with your health care provider about how much you need to take, how often you need to take it, and how long you need to take it.
Can too much vitamin D be harmful?
Getting too much vitamin D (known as vitamin D toxicity) can be harmful. Signs of toxicity include nausea, vomiting, poor appetite, constipation, weakness, and weight loss. Excess vitamin D can also damage the kidneys. Too much vitamin D also raises the level of calcium in your blood. High levels of blood calcium (hypercalcemia) can cause confusion, disorientation, and problems with heart rhythm.
Most cases of vitamin D toxicity happen when someone overuses vitamin D supplements. Excessive sun exposure doesn't cause vitamin D poisoning because the body limits the amount of this vitamin it produces.
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