2021 ICD-10-CM Diagnosis Code E41

Nutritional marasmus

    2016 2017 2018 2019 2020 2021 Billable/Specific Code
  • E41 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 E41 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of E41 - other international versions of ICD-10 E41 may differ.
Applicable To
  • Severe malnutrition with marasmus
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as E41. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • marasmic kwashiorkor (
    ICD-10-CM Diagnosis Code E42

    Marasmic kwashiorkor

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Intermediate form severe protein-calorie malnutrition
    • Severe protein-calorie malnutrition with signs of both kwashiorkor and marasmus
    E42
    )
The following code(s) above E41 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 E41:
  • 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
ICD-10-CM E41 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
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems

Convert E41 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 E41:
  • Type 1 Excludes: R64
    ICD-10-CM Diagnosis Code R64

    Cachexia

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Wasting syndrome
    Code First
    • underlying condition, if known
    Type 1 Excludes
    • abnormal weight loss (R63.4)
    • nutritional marasmus (E41)

Diagnosis Index entries containing back-references to E41:
  • Athrepsia E41
  • Atrophy, atrophic (of)
  • Deficiency, deficient
    • calorie, severe E43
      ICD-10-CM Diagnosis Code E43

      Unspecified severe protein-calorie malnutrition

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Starvation edema
  • Disease, diseased - see also Syndrome
    • wasting NEC R64
      ICD-10-CM Diagnosis Code R64

      Cachexia

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Wasting syndrome
      Code First
      • underlying condition, if known
      Type 1 Excludes
      • abnormal weight loss (R63.4)
      • nutritional marasmus (E41)
      • due to malnutrition E41
  • Malnutrition E46
    ICD-10-CM Diagnosis Code E46

    Unspecified protein-calorie malnutrition

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Malnutrition NOS
    • Protein-calorie imbalance NOS
    Type 1 Excludes
    • nutritional deficiency NOS (E63.9)
    • degree
      • severe (protein-energy) E43
        ICD-10-CM Diagnosis Code E43

        Unspecified severe protein-calorie malnutrition

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        Applicable To
        • Starvation edema
        • intermediate form E42
          ICD-10-CM Diagnosis Code E42

          Marasmic kwashiorkor

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
          Applicable To
          • Intermediate form severe protein-calorie malnutrition
          • Severe protein-calorie malnutrition with signs of both kwashiorkor and marasmus
    • protein E46
      ICD-10-CM Diagnosis Code E46

      Unspecified protein-calorie malnutrition

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Malnutrition NOS
      • Protein-calorie imbalance NOS
      Type 1 Excludes
      • nutritional deficiency NOS (E63.9)
      • calorie E46
        ICD-10-CM Diagnosis Code E46

        Unspecified protein-calorie malnutrition

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        Applicable To
        • Malnutrition NOS
        • Protein-calorie imbalance NOS
        Type 1 Excludes
        • nutritional deficiency NOS (E63.9)
        • severe E43
          ICD-10-CM Diagnosis Code E43

          Unspecified severe protein-calorie malnutrition

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
          Applicable To
          • Starvation edema
          • intermediate form E42
            ICD-10-CM Diagnosis Code E42

            Marasmic kwashiorkor

              2016 2017 2018 2019 2020 2021 Billable/Specific Code
            Applicable To
            • Intermediate form severe protein-calorie malnutrition
            • Severe protein-calorie malnutrition with signs of both kwashiorkor and marasmus
      • energy E46
        ICD-10-CM Diagnosis Code E46

        Unspecified protein-calorie malnutrition

          2016 2017 2018 2019 2020 2021 Billable/Specific Code
        Applicable To
        • Malnutrition NOS
        • Protein-calorie imbalance NOS
        Type 1 Excludes
        • nutritional deficiency NOS (E63.9)
        • severe E43
          ICD-10-CM Diagnosis Code E43

          Unspecified severe protein-calorie malnutrition

            2016 2017 2018 2019 2020 2021 Billable/Specific Code
          Applicable To
          • Starvation edema
          • intermediate form E42
            ICD-10-CM Diagnosis Code E42

            Marasmic kwashiorkor

              2016 2017 2018 2019 2020 2021 Billable/Specific Code
            Applicable To
            • Intermediate form severe protein-calorie malnutrition
            • Severe protein-calorie malnutrition with signs of both kwashiorkor and marasmus
    • severe (protein-energy) E43
      ICD-10-CM Diagnosis Code E43

      Unspecified severe protein-calorie malnutrition

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Starvation edema
  • Marasmus E41
    • due to malnutrition E41
    • intestinal E41
    • nutritional E41
  • Pedatrophia E41
  • Wasting
    • disease R64
      ICD-10-CM Diagnosis Code R64

      Cachexia

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Wasting syndrome
      Code First
      • underlying condition, if known
      Type 1 Excludes
      • abnormal weight loss (R63.4)
      • nutritional marasmus (E41)
      • due to malnutrition E41
    • extreme E41 (due to malnutrition)

ICD-10-CM Codes Adjacent To E41
E35 Disorders of endocrine glands in diseases classified elsewhere
E36 Intraoperative complications of endocrine system
E36.0 Intraoperative hemorrhage and hematoma of an endocrine system organ or structure complicating a procedure
E36.01 Intraoperative hemorrhage and hematoma of an endocrine system organ or structure complicating an endocrine system procedure
E36.02 Intraoperative hemorrhage and hematoma of an endocrine system organ or structure complicating other procedure
E36.1 Accidental puncture and laceration of an endocrine system organ or structure during a procedure
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

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