2021 ICD-10-CM Diagnosis Code E45

Retarded development following protein-calorie malnutrition

    2016 2017 2018 2019 2020 2021 Billable/Specific Code
  • E45 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2021 edition of ICD-10-CM E45 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of E45 - other international versions of ICD-10 E45 may differ.
Applicable To
  • Nutritional short stature
  • Nutritional stunting
  • Physical retardation due to malnutrition
The following code(s) above E45 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to E45:
  • E00-E89
    2021 ICD-10-CM Range E00-E89

    Endocrine, nutritional and metabolic diseases

    Note
    • All neoplasms, whether functionally active or not, are classified in Chapter 2. Appropriate codes in this chapter (i.e. E05.8, E07.0, E16-E31, E34.-) may be used as additional codes to indicate either functional activity by neoplasms and ectopic endocrine tissue or hyperfunction and hypofunction of endocrine glands associated with neoplasms and other conditions classified elsewhere.
    Type 1 Excludes
    • transitory endocrine and metabolic disorders specific to newborn (P70-P74)
    Endocrine, nutritional and metabolic diseases
  • E40-E46
    2021 ICD-10-CM Range E40-E46

    Malnutrition

    Type 1 Excludes
    • intestinal malabsorption (K90.-)
    • sequelae of protein-calorie malnutrition (E64.0)
    Type 2 Excludes
    Malnutrition
Approximate Synonyms
  • Arrested development following protein-calorie malnutrition
  • Protein calorie malnutrition, arrested development
ICD-10-CM E45 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 640 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
  • 641 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc

Convert E45 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
Code annotations containing back-references to E45:
  • Type 1 Excludes: E34.3
    , R62.5
    ICD-10-CM Diagnosis Code E34.3

    Short stature due to endocrine disorder

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Constitutional short stature
    • Laron-type short stature
    Type 1 Excludes
    • achondroplastic short stature (Q77.4)
    • hypochondroplastic short stature (Q77.4)
    • nutritional short stature (E45)
    • pituitary short stature (E23.0)
    • progeria (E34.8)
    • renal short stature (N25.0)
    • Russell-Silver syndrome (Q87.19)
    • short-limbed stature with immunodeficiency (D82.2)
    • short stature in specific dysmorphic syndromes - code to syndrome - see Alphabetical Index
    • short stature NOS (R62.52)
    ICD-10-CM Diagnosis Code R62.5

    Other and unspecified lack of expected normal physiological development in childhood

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • HIV disease resulting in failure to thrive (B20)
    • physical retardation due to malnutrition (E45)
  • Type 2 Excludes: E64.0
    ICD-10-CM Diagnosis Code E64.0

    Sequelae of protein-calorie malnutrition

      2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
    Type 2 Excludes
    • retarded development following protein-calorie malnutrition (E45)

Diagnosis Index entries containing back-references to E45:
  • Development
    • arrested R62.50
      ICD-10-CM Diagnosis Code R62.50

      Unspecified lack of expected normal physiological development in childhood

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Infantilism NOS
      • due to malnutrition E45
  • Dwarfism E34.3
    ICD-10-CM Diagnosis Code E34.3

    Short stature due to endocrine disorder

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Constitutional short stature
    • Laron-type short stature
    Type 1 Excludes
    • achondroplastic short stature (Q77.4)
    • hypochondroplastic short stature (Q77.4)
    • nutritional short stature (E45)
    • pituitary short stature (E23.0)
    • progeria (E34.8)
    • renal short stature (N25.0)
    • Russell-Silver syndrome (Q87.19)
    • short-limbed stature with immunodeficiency (D82.2)
    • short stature in specific dysmorphic syndromes - code to syndrome - see Alphabetical Index
    • short stature NOS (R62.52)
    • nutritional E45
  • Dystrophy, dystrophia
    • due to malnutrition E45
    • nutritional E45
  • Nutritional stunting E45
  • Retardation
    • growth R62.50
      ICD-10-CM Diagnosis Code R62.50

      Unspecified lack of expected normal physiological development in childhood

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Infantilism NOS
      • due to malnutrition E45
    • physical (child) R62.52
      ICD-10-CM Diagnosis Code R62.52

      Short stature (child)

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Lack of growth
      • Physical retardation
      • Short stature NOS
      Type 1 Excludes
      • short stature due to endocrine disorder (E34.3)
      • due to malnutrition E45
  • Stunting, nutritional E45

ICD-10-CM Codes Adjacent To E45
E36.11 Accidental puncture and laceration of an endocrine system organ or structure during an endocrine system procedure
E36.12 Accidental puncture and laceration of an endocrine system organ or structure during other procedure
E36.8 Other intraoperative complications of endocrine system
E40 Kwashiorkor
E41 Nutritional marasmus
E42 Marasmic kwashiorkor
E43 Unspecified severe protein-calorie malnutrition
E44 Protein-calorie malnutrition of moderate and mild degree
E44.0 Moderate protein-calorie malnutrition
E44.1 Mild protein-calorie malnutrition
E45 Retarded development following protein-calorie malnutrition
E46 Unspecified protein-calorie malnutrition
E50 Vitamin A deficiency
E50.0 Vitamin A deficiency with conjunctival xerosis
E50.1 Vitamin A deficiency with Bitot's spot and conjunctival xerosis
E50.2 Vitamin A deficiency with corneal xerosis
E50.3 Vitamin A deficiency with corneal ulceration and xerosis
E50.4 Vitamin A deficiency with keratomalacia
E50.5 Vitamin A deficiency with night blindness
E50.6 Vitamin A deficiency with xerophthalmic scars of cornea
E50.7 Other ocular manifestations of vitamin A deficiency

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.