ICD-10-CM Tabular Index · Chapter 4 · FY 2027 E40–E46
Malnutrition (E40-E46) ICD-10-CM
The E40–E46 section covers malnutrition with 9 ICD-10-CM diagnosis codes, of which 8 are billable in fiscal year 2027. The section is organized into the 7 code ranges listed below.
✓ Built from the official CMS FY 2027 datasetEffective Oct 1, 2026 – Sep 30, 2027
7
Code Ranges
9
Diagnosis Codes
8
Billable Codes
E40–E46
Code Range
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.
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
The info icon previews the code ranges inside each row and its instructional notations from the official Tabular List.
About the E40–E46 Code Range
Malnutrition occurs when nutrient intake falls short of the body's normal needs. These categories distinguish named forms, degrees of protein-calorie malnutrition, and delayed development following malnutrition.
E40 identifies kwashiorkor, which results from severe protein deficiency and can involve slowed growth, swelling, and changes in skin and hair color. E41 identifies nutritional marasmus, while E42 identifies marasmic kwashiorkor.
For protein-calorie malnutrition without a named form, E43 specifies severe malnutrition, and E44 divides moderate from mild malnutrition. E45 identifies delayed development following protein-calorie malnutrition. E46 identifies protein-calorie malnutrition without a specified degree.
Questions About This Page
How many codes are in the E40-E46 range?
The E40-E46 range contains 9 ICD-10-CM diagnosis codes in FY 2027. 8 of them are billable, and the rest are category headers that organize the section.
What conditions does E40-E46 cover?
The range covers malnutrition. The code ranges listed above break it into groups of related conditions, and each one links to its own page with the full code list.
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.
Severe malnutrition with nutritional edema with dyspigmentation of skin and hair
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.
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.
Severe malnutrition with marasmus
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.
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.
Intermediate form severe protein-calorie malnutrition
Severe protein-calorie malnutrition with signs of both kwashiorkor and marasmus
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.
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.
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.
Malnutrition NOS
Protein-calorie imbalance NOS
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.
