How do you code protein calories malnutrition?

How do you code protein calories malnutrition?

Coding professionals would use ICD-10-CM code E43 to report severe malnutrition, also known as starvation edema. They would use ICD-10-CM code E42 to report severe protein-calorie malnutrition with signs of both kwashiorkor and marasmus.

What is the ICD 10 code for at risk for malnutrition?

The diagnosis codes of E44. 0 (moderate malnutrition), E44. 1 (mild malnutrition), and E46 (malnutrition, unspecified) complete the section of malnutrition….Understanding the Nuances of Coding Malnutrition.

Level ICD-10-CM Code BMI Range
High-risk Class 3 E66.01 >= 40

What is the DX code for malnutrition?

The diagnosis codes of E44. 0 (moderate malnutrition), E44. 1 (mild malnutrition), and E46 (malnutrition, unspecified) complete the section of malnutrition. These malnutrition codes are classified as CCs.

What is the ICD 10 code for mild malnutrition?

E44
2022 ICD-10-CM Diagnosis Code E44: Protein-calorie malnutrition of moderate and mild degree.

How is protein malnutrition diagnosed?

Diagnosis usually involves laboratory testing, including serum albumin. Treatment consists of correcting fluid and electrolyte deficits with IV solutions, then gradually replenishing nutrients, orally if possible. (See also Overview of Undernutrition. (Malnutrition also includes overnutrition.)

What BMI is protein calorie malnutrition?

Although PCM can be diagnosed when the BMI is ≤ 18.9, it should be noted that the elderly are at increased risk of death when the BMI is ≤ 21. 2 Therefore, the provider should ensure that the elderly have adequate caloric and protein intake so that the BMI is above 21.

What is unspecified protein calorie malnutrition?

The lack of sufficient energy or protein to meet the body’s metabolic demands, as a result of either an inadequate dietary intake of protein, intake of poor quality dietary protein, increased demands due to disease, or increased nutrient losses.

What is severe protein calorie malnutrition?

Kwashiorkor is a state of acute, severe protein-calorie malnutrition resulting in edema and hair changes, often accompanied by encephalopathy. Marasmus is the chronic form of this disorder and causes apathy and growth failure.

What causes severe protein calorie malnutrition?

Protein-energy malnutrition (PEM) is a common childhood disorder and is primarily caused by deficiency of energy, protein, and micronutrients. PEM manifests as underweight (low body weight compared with healthy peers), stunting (poor linear growth), wasting (acute weight loss), or edematous malnutrition (kwashiorkor).

What labs show protein calorie malnutrition?

Measures of protein nutritional status include serum albumin, retinol-binding protein, prealbumin, transferrin, creatinine, and BUN levels. Retinol-binding protein, prealbumin, and transferrin determinations are much better short-term indicators of protein status than albumin.

What labs show nutritional status?

Serum proteins (albumin, transferrin, prealbumin, retinol-binding protein) are perhaps the most widely used laboratory measures of nutritional status.

Is PEM and Sam same?

Protein-Energy Malnutrition in Children Case fatality rates among children hospitalized with severe wasting or edema (also known as severe acute malnutrition [SAM]) range from 5% to 30%. All forms of PEM are associated with increased risk of infectious illnesses and cognitive deficit.

What is the ICD 9 code for moderate protein malnutrition?

Unspecified protein-calorie malnutrition (263.9) ICD-9 code 263.9 for Unspecified protein-calorie malnutrition is a medical classification as listed by WHO under the range -NUTRITIONAL DEFICIENCIES (260-269).

What is the ICD 10 code for severe malnutrition?

Unspecified severe protein-calorie malnutrition. E43 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM E43 became effective on October 1, 2018.

Unspecified protein-calorie malnutrition. The lack of sufficient energy or protein to meet the body’s metabolic demands, as a result of either an inadequate dietary intake of protein, intake of poor quality dietary protein, increased demands due to disease, or increased nutrient losses.