2020 ICD-10-CM Diagnosis Code E54

Ascorbic acid deficiency

    2016 2017 2018 2019 2020 Billable/Specific Code
  • E54 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM E54 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of E54 - other international versions of ICD-10 E54 may differ.
Applicable To
  • Deficiency of vitamin C
  • Scurvy
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 E54. 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.
  • scorbutic anemia (
    ICD-10-CM Diagnosis Code D53.2

    Scorbutic anemia

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 1 Excludes
    D53.2
    )
  • sequelae of vitamin C deficiency (
    ICD-10-CM Diagnosis Code E64.2

    Sequelae of vitamin C deficiency

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    E64.2
    )
The following code(s) above E54 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 E54:
  • E00-E89
    2020 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
  • E50-E64
    2020 ICD-10-CM Range E50-E64

    Other nutritional deficiencies

    Type 2 Excludes
    Other nutritional deficiencies
Approximate Synonyms
  • Vitamin c deficiency
Clinical Information
  • A condition due to a dietary deficiency of ascorbic acid (vitamin c), characterized by malaise, lethargy, and weakness. As the disease progresses, joints, muscles, and subcutaneous tissues may become the sites of hemorrhage. Ascorbic acid deficiency frequently develops into scurvy in young children fed unsupplemented cow's milk exclusively during their first year. It develops also commonly in chronic alcoholism. (cecil textbook of medicine, 19th ed, p1177)
  • An acquired blood vessel disorder caused by severe deficiency of vitamin c (ascorbic acid) in the diet leading to defective collagen formation in small blood vessels. Scurvy is characterized by bleeding in any tissue, weakness, anemia, spongy gums, and a brawny induration of the muscles of the calves and legs.
  • Condition due to a deficiency of vitamin c.
ICD-10-CM E54 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 640 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
  • 641 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc

Convert E54 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
Code annotations containing back-references to E54:
  • Code First: D77
    ICD-10-CM Diagnosis Code D77

    Other disorders of blood and blood-forming organs in diseases classified elsewhere

      2016 2017 2018 2019 2020 Billable/Specific Code Manifestation Code
    Code First
    Type 1 Excludes
    • rupture of spleen due to Plasmodium vivax malaria (B51.0)
    • splenitis, splenomegaly in late syphilis (A52.79)
    • splenitis, splenomegaly in tuberculosis (A18.85)
  • Type 1 Excludes: D53.2
    ICD-10-CM Diagnosis Code D53.2

    Scorbutic anemia

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 1 Excludes

Diagnosis Index entries containing back-references to E54:
  • Acid
  • Arthritis, arthritic (acute) (chronic) (nonpyogenic) (subacute) M19.90
    ICD-10-CM Diagnosis Code M19.90

    Unspecified osteoarthritis, unspecified site

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Arthrosis NOS
    • Arthritis NOS
    • Osteoarthritis NOS
    • scorbutic E54 - see also subcategory M14.8-
  • Barlow's disease E54
  • Cheadle's disease E54
  • Deficiency, deficient
    • vitamin (multiple) E56.9
      ICD-10-CM Diagnosis Code E56.9

      Vitamin deficiency, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code
      • C E54
    • ascorbic acid E54
  • Inflammation, inflamed, inflammatory (with exudation)
    • alveoli, teeth M27.3
      ICD-10-CM Diagnosis Code M27.3

      Alveolitis of jaws

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Alveolar osteitis
      • Dry socket
      • scorbutic E54
    • scorbutic, alveoli, teeth E54
  • Purpura D69.2
    ICD-10-CM Diagnosis Code D69.2

    Other nonthrombocytopenic purpura

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Purpura NOS
    • Purpura simplex
    • Senile purpura
    • scorbutic E54
  • Scurvy, scorbutic E54
    • gum E54
    • infantile E54

ICD-10-CM Codes Adjacent To E54
E51.12 Wet beriberi
E51.2 Wernicke's encephalopathy
E51.8 Other manifestations of thiamine deficiency
E51.9 Thiamine deficiency, unspecified
E52 Niacin deficiency [pellagra]
E53 Deficiency of other B group vitamins
E53.0 Riboflavin deficiency
E53.1 Pyridoxine deficiency
E53.8 Deficiency of other specified B group vitamins
E53.9 Vitamin B deficiency, unspecified
E54 Ascorbic acid deficiency
E55 Vitamin D deficiency
E55.0 Rickets, active
E55.9 Vitamin D deficiency, unspecified
E56 Other vitamin deficiencies
E56.0 Deficiency of vitamin E
E56.1 Deficiency of vitamin K
E56.8 Deficiency of other vitamins
E56.9 Vitamin deficiency, unspecified
E58 Dietary calcium deficiency
E59 Dietary selenium deficiency

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