2023 ICD-10-CM Diagnosis Code E61

Deficiency of other nutrient elements

    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
  • E61 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2023 edition of ICD-10-CM E61 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of E61 - other international versions of ICD-10 E61 may differ.
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code for adverse effect, if applicable, to identify drug (T36-T50
    ICD-10-CM Range T36-T50

    Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances

    Code First
    • , for adverse effects, the nature of the adverse effect, such as:
    • adverse effect NOS (T88.7)
    • aspirin gastritis (K29.-)
    • blood disorders (D56-D76)
    • contact dermatitis (L23-L25)
    • dermatitis due to substances taken internally (L27.-)
    • nephropathy (N14.0-N14.2)
    Includes
    • adverse effect of correct substance properly administered
    • poisoning by overdose of substance
    • poisoning by wrong substance given or taken in error
    • underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed
    Note
    • The drug giving rise to the adverse effect should be identified by use of codes from categories T36-T50 with fifth or sixth character 5.
    Type 1 Excludes
    • toxic reaction to local anesthesia in pregnancy (O29.3-)
    Type 2 Excludes
    • abuse and dependence of psychoactive substances (F10-F19)
    • abuse of non-dependence-producing substances (F55.-)
    • immunodeficiency due to drugs (D84.821)
    • drug reaction and poisoning affecting newborn (P00-P96)
    • pathological drug intoxication (inebriation) (F10-F19)
    Use Additional
    • code(s) to specify:
    • manifestations of poisoning
    • underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
    • underdosing of medication regimen (Z91.12-, Z91.13-)
    • T36 Poisoning by, adverse effect of and unde...
    • T37 Poisoning by, adverse effect of and unde...
    • T38 Poisoning by, adverse effect of and unde...
    • T39 Poisoning by, adverse effect of and unde...
    • T40 Poisoning by, adverse effect of and unde...
    • T41 Poisoning by, adverse effect of and unde...
    • T42 Poisoning by, adverse effect of and unde...
    • T43 Poisoning by, adverse effect of and unde...
    • T44 Poisoning by, adverse effect of and unde...
    • T45 Poisoning by, adverse effect of and unde...
    • T46 Poisoning by, adverse effect of and unde...
    • T47 Poisoning by, adverse effect of and unde...
    • T48 Poisoning by, adverse effect of and unde...
    • T49 Poisoning by, adverse effect of and unde...
    • T50 Poisoning by, adverse effect of and unde...
    with fifth or sixth character 5)
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 E61. 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.
  • disorders of mineral metabolism (
    ICD-10-CM Diagnosis Code E83
    • E83 Disorders of mineral metabolism
      • E83.0 Disorders of copper metabolism
        • E83.00 Disorder of copper metabolism, unspecified
        • E83.01 Wilson's disease
        • E83.09 Other disorders of copper metabolism
      • E83.1 Disorders of iron metabolism
        • E83.10 Disorder of iron metabolism, unspecified
        • E83.11 Hemochromatosis
          • E83.110 Hereditary hemochromatosis
          • E83.111 Hemochromatosis due to repeated red blood cel...
          • E83.118 Other hemochromatosis
          • E83.119 …… unspecified
        • E83.19 Other disorders of iron metabolism
      • E83.2 Disorders of zinc metabolism
      • E83.3 Disorders of phosphorus metabolism and phosph...
        • E83.30 Disorder of phosphorus metabolism, unspecifie...
        • E83.31 Familial hypophosphatemia
        • E83.32 Hereditary vitamin D-dependent rickets (type ...
        • E83.39 Other disorders of phosphorus metabolism
      • E83.4 Disorders of magnesium metabolism
        • E83.40 Disorders of magnesium metabolism, unspecifie...
        • E83.41 Hypermagnesemia
        • E83.42 Hypomagnesemia
        • E83.49 Other disorders of magnesium metabolism
      • E83.5 Disorders of calcium metabolism
        • E83.50 Unspecified disorder of calcium metabolism
        • E83.51 Hypocalcemia
        • E83.52 Hypercalcemia
        • E83.59 Other disorders of calcium metabolism
      • E83.8 Other disorders of mineral metabolism
        • E83.81 Hungry bone syndrome
        • E83.89 Other disorders of mineral metabolism
      • E83.9 Disorder of mineral metabolism, unspecified
    E83.-
    )
  • iodine deficiency related thyroid disorders (
    ICD-10-CM Diagnosis Code E00

    Congenital iodine-deficiency syndrome

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • subclinical iodine-deficiency hypothyroidism (E02)
    Use Additional
    • code (F70-F79) to identify associated intellectual disabilities.
    E00
    -
    ICD-10-CM Diagnosis Code E02

    Subclinical iodine-deficiency hypothyroidism

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    E02
    )
  • sequelae of malnutrition and other nutritional deficiencies (
    ICD-10-CM Diagnosis Code E64
    • E64 Sequelae of malnutrition and other nutritiona...
      • E64.0 Sequelae of protein-calorie malnutrition
      • E64.1 Sequelae of vitamin A deficiency
      • E64.2 Sequelae of vitamin C deficiency
      • E64.3 Sequelae of rickets
      • E64.8 Sequelae of other nutritional deficiencies
      • E64.9 Sequelae of unspecified nutritional deficienc...
    E64.-
    )
The following code(s) above E61 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 E61:
  • E00-E89
    2023 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
    2023 ICD-10-CM Range E50-E64

    Other nutritional deficiencies

    Type 2 Excludes
    Other nutritional deficiencies
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
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
ICD-10-CM Codes Adjacent To E61
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
E60 Dietary zinc deficiency
E61 Deficiency of other nutrient elements
E61.0 Copper deficiency
E61.1 Iron deficiency
E61.2 Magnesium deficiency
E61.3 Manganese deficiency
E61.4 Chromium deficiency
E61.5 Molybdenum deficiency
E61.6 Vanadium deficiency
E61.7 Deficiency of multiple nutrient elements
E61.8 Deficiency of other specified nutrient elements
E61.9 Deficiency of nutrient element, unspecified

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