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ICD-10 Coding for Vitamin C Deficiency(E54, E64.2)

Complete ICD-10-CM coding and documentation guide for Vitamin C Deficiency. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

ScurvyAscorbic Acid Deficiency

Related ICD-10 Code Ranges

Complete code families applicable to Vitamin C Deficiency

E50-E64Primary Range

Nutritional deficiencies

This range includes codes for various nutritional deficiencies, including vitamin C deficiency.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
E54Ascorbic acid deficiencyUse when there is an active deficiency of vitamin C with clinical symptoms.
  • Plasma vitamin C level below 0.2 mg/dL
  • Symptoms such as bleeding gums, perifollicular hemorrhages, joint pain
E64.2Sequelae of vitamin C deficiencyUse for chronic sequelae following a past vitamin C deficiency.
  • Documented history of resolved scurvy with persistent anatomical or functional deficits

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for vitamin C deficiency

Essential facts and insights about Vitamin C Deficiency

The ICD-10 code for vitamin C deficiency is E54, which includes scurvy.

Primary ICD-10-CM Codes for deficiency of vitamin c

Ascorbic acid deficiency
Billable Code

Decision Criteria

clinical Criteria

  • Presence of symptoms like bleeding gums and low plasma vitamin C levels.

Applicable To

  • Scurvy

Excludes

  • Sequelae of vitamin C deficiency (E64.2)

Clinical Validation Requirements

  • Plasma vitamin C level below 0.2 mg/dL
  • Symptoms such as bleeding gums, perifollicular hemorrhages, joint pain

Code-Specific Risks

  • Confusion with sequelae codes
  • Incorrect documentation of symptoms

Coding Notes

  • Ensure documentation specifies 'scurvy' or 'ascorbic acid deficiency' with supporting lab results.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Spontaneous ecchymoses

R23.3
Use when there are petechiae or ecchymoses without confirmed deficiency.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Sequelae of vitamin C deficiency

E64.2
Use E64.2 for chronic sequelae of a past vitamin C deficiency, not for active deficiency.

Ascorbic acid deficiency

E54
Use E54 for active deficiency with symptoms, not for sequelae.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Vitamin C Deficiency to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E54.

Impact

Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Use specific terms like 'scurvy' or 'ascorbic acid deficiency'., Include lab results and detailed symptoms.

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Violates ICD-10 coding rules., Data Quality: Impacts accuracy of patient records.

Mitigation Strategy

Use E54 for active deficiency and E64.2 for sequelae, not together.

Impact

Coding E54 without lab results or specific symptoms.

Mitigation Strategy

Ensure all documentation includes lab results and detailed symptom descriptions.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Vitamin C Deficiency, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Vitamin C Deficiency

Use these documentation templates to ensure complete and accurate documentation for Vitamin C Deficiency. These templates include all required elements for proper coding and billing.

Emergency Department Presentation

Specialty: Emergency Medicine

Required Elements

  • History of present illness
  • Dietary history
  • Physical examination findings
  • Laboratory results

Example Documentation

A 68-year-old presents with bleeding gums and knee effusion. Plasma vitamin C: 0.1 mg/dL. Diagnosis: E54 – Ascorbic acid deficiency.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Fatigue and bruising. Start supplements.
Good Documentation Example
Fatigue ×3 months, perifollicular hemorrhages on thighs, gingival hypertrophy with bleeding on probing. Plasma vitamin C: 0.15 mg/dL. Diagnosis: E54 – Ascorbic acid deficiency.
Explanation
The good example includes specific symptoms and lab results, supporting the diagnosis.

Need help with ICD-10 coding for Vitamin C Deficiency? Ask your questions below.

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