1. ICD-10-CM Codes
›
2. E00-E89
›
3. E40-E46
›
4. E43-
›
5. 2023 ICD-10-CM Diagnosis Code E43

2023 ICD-10-CM Diagnosis Code E43

Unspecified severe protein-calorie malnutrition

2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

• E43 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• The 2023 edition of ICD-10-CM E43 became effective on October 1, 2022.
• This is the American ICD-10-CM version of E43 - other international versions of ICD-10 E43 may differ.

• Diabetes type 1 with severe malnutrition
• Diabetes type 2 with severe malnutrition
• Edema due to nutritional deficiency
• Nutritional edema
• Protein calorie malnutrition, severe
• Severe malnutrition due to type 1 diabetes mellitus
• Severe malnutrition due to type 2 diabetes mellitus
• Severe protein-calorie malnutrition (gomez: less than 60% of standard weight)

• 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 E43 to ICD-9-CM

• 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
• 2022 (effective 10/1/2021): No change
• 2023 (effective 10/1/2022): No change

• Note: E64
  ICD-10-CM Diagnosis Code E64

  Sequelae of malnutrition and other nutritional deficiencies

  2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

  Code First

  • condition resulting from (sequela) of malnutrition and other nutritional deficiencies

  Note

  • This category is to be used to indicate conditions in categories E43, E44, E46, E50-E63 as the cause of sequelae, which are themselves classified elsewhere. The 'sequelae' include conditions specified as such; they also include the late effects of diseases classifiable to the above categories if the disease itself is no longer present

• Anasarca R60.1
  ICD-10-CM Diagnosis Code R60.1

  Generalized edema

  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

  Type 2 Excludes

  • nutritional edema (E40-E46)
  • nutritional E43
• Atrophy, atrophic (of)
  • nutritional E43
• Deficiency, deficient
  • calorie, severe E43
• Disease, diseased - see also Syndrome
  • wasting NEC R64
    ICD-10-CM Diagnosis Code R64

    Cachexia

    2016 2017 2018 2019 2020 2021 2022 2023 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 E43
• Emaciation R64
  ICD-10-CM Diagnosis Code R64

  Cachexia

  2016 2017 2018 2019 2020 2021 2022 2023 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 E43
• Malnutrition E46
  ICD-10-CM Diagnosis Code E46

  Unspecified protein-calorie malnutrition

  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

  Applicable To

  • Malnutrition NOS
  • Protein-calorie imbalance NOS

  Type 1 Excludes

  • nutritional deficiency NOS (E63.9)
  • degree
    • severe (protein-energy) E43
    • third E43
  • protein E46
    ICD-10-CM Diagnosis Code E46

    Unspecified protein-calorie malnutrition

    2016 2017 2018 2019 2020 2021 2022 2023 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 2022 2023 Billable/Specific Code

      Applicable To

      • Malnutrition NOS
      • Protein-calorie imbalance NOS

      Type 1 Excludes

      • nutritional deficiency NOS (E63.9)
      • severe E43
    • energy E46
      ICD-10-CM Diagnosis Code E46

      Unspecified protein-calorie malnutrition

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Malnutrition NOS
      • Protein-calorie imbalance NOS

      Type 1 Excludes

      • nutritional deficiency NOS (E63.9)
      • severe E43
  • severe (protein-energy) E43
• Wasting
  • disease R64
    ICD-10-CM Diagnosis Code R64

    Cachexia

    2016 2017 2018 2019 2020 2021 2022 2023 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 E43
  • extreme (due to malnutrition) E43

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