E43 diagnosis code · Billable category · FY2027
E43 Unspecified severe protein-calorie malnutrition
- Billable
- MCC
- POA reported
E43 ICD-10 code: a billable diagnosis code in FY2027; the category has no subdivisions.
Where it sits
- Chapter 4 Endocrine, nutritional and metabolic diseases (E00-E89)
- E40-E46 Malnutrition (E40-E46)
- E43 Unspecified severe protein-calorie malnutrition
- CC / MCC
- MCC
- MS-DRG
- 640-641, 791, 793
- HCC V28
- –
- POA
- Reported
- Code Editor
- –
- Index entries
- 12
Instructions
At E43
Inclusion terms
- Starvation edema
Notes that also apply
Block E40-E46 instructions (Excludes1 2, Excludes2 2): printed on the block page.
Chapter 4 instructions (Notes 1, Excludes1 1): printed on the chapter 4 page.
Index entries
- Anasarca›nutritional → E43
- Atrophy, atrophic (of)›nutritional → E43
- Deficiency, deficient›calorie, severe → E43
- Emaciation›due to malnutrition → E43
- Malnutrition›severe (protein-energy) → E43
- Wasting›extreme (due to malnutrition) → E43
- Malnutrition›degree›severe (protein-energy) → E43
- Malnutrition›degree›third → E43
- Disease, diseased›wasting NEC›due to›malnutrition → E43
- Malnutrition›protein›calorie›severe → E43
- Malnutrition›protein›energy›severe → E43
- Wasting›disease (syndrome)›due to›malnutrition → E43
NCHS Alphabetic Index. Index first, then the Tabular List.
Medicare grouping and edits
| CC / MCC | MCC |
|---|---|
| PDX exclusion list | 0546 (9 codes) |
| Appendix B | MDC 10 Endocrine, Nutritional and Metabolic Diseases and Disorders, MS-DRG 640-641 (Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC…); MDC 15 Newborns and Other Neonates with Conditions Originating in Perinatal Period, MS-DRG 791 (Prematurity with Major Problems…); MDC 15 Newborns and Other Neonates with Conditions Originating in Perinatal Period, MS-DRG 793 (Full Term Neonate with Major Problems…) |
| Code Editor | – |
| POA | Reported |
| HCC V28 | – |
MCC as a secondary diagnosis, not when the principal diagnosis is on its PDX exclusion list.
CMS: MS-DRG v44 (Appendix B, C), MCE v44, POA list FY2027, 2027 Initial ICD-10-CM Mappings. What the rows mean.