Dietary selenium deficiency (E59)
The ICD-10 code E59 is used to identify dietary selenium deficiency, a condition caused by insufficient selenium intake in the diet. This code specifically applies to health issues arising from a lack of selenium, an essential trace element important for various bodily functions.
This code covers conditions known by various names, including Keshan disease, selenium deficiency, and related terms such as deficiency of selenium and/or vitamin E. Sometimes the deficiency coexists with vitamin E insufficiency since both nutrients are crucial antioxidants. Medical coders looking for the ICD-10 code for dietary selenium deficiency can confidently use E59 to document cases involving inadequate selenium intake or its classical deficiency syndromes. This is essential for accurately classifying nutritional deficiencies specifically tied to selenium and distinguishing them from other nutritional disorders.
Instructional Notations
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.
- Keshan disease
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 selenium deficiency E64.8
Clinical Terms
The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.
Vitamin E Deficiency
A nutritional condition produced by a deficiency of VITAMIN E in the diet, characterized by posterior column and spinocerebellar tract abnormalities, areflexia, ophthalmoplegia, and disturbances of gait, proprioception, and vibration. In premature infants vitamin E deficiency is associated with hemolytic anemia, thrombocytosis, edema, intraventricular hemorrhage, and increasing risk of retrolental fibroplasia and bronchopulmonary dysplasia. An apparent inborn error of vitamin E metabolism, named familial isolated vitamin E deficiency, has recently been identified. (Cecil Textbook of Medicine, 19th ed, p1181)
Vitamins
Organic substances that are required in small amounts for maintenance and growth, but which cannot be manufactured by the human body.
