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E53.9 ICD-10-CM Code: Vitamin B deficiency, unspecified

ICD-10-CM Code View

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FY 2026 Apr update / Endocrine, nutritional and metabolic diseases (E00-E89) / Other nutritional deficiencies (E50-E64)

E53.9

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Vitamin B deficiency, unspecified

A condition where a patient lacks sufficient B vitamins in their body, but the specific type of B vitamin deficiency has not been identified or documented. This can cause fatigue, weakness, and nerve problems if left untreated.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
E53Deficiency of other B group vitamins
E53.9Vitamin B deficiency, unspecified

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for E53.9 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for E53.9 in this effective period.

Related Child Codes

Official
E53.0Riboflavin deficiency
E53.1Pyridoxine deficiency
E53.8Deficiency of other specified B group vitamins

Includes

Official

ICD-10-CM does not list Includes notes for E53.9 in this effective period.

Excludes 1

Official
  • sequelae of vitamin B deficiency (E64.8)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for E53.9 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for E53.9 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for E53.9 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code only when the specific B vitamin deficiency (B1, B2, B3, B6, B12, folate, etc.) cannot be determined from the medical record; always attempt to identify the specific deficiency first
If the deficiency is specified (such as B12 deficiency or folate deficiency), use the more specific ICD-10-CM codes (E53.8x series) rather than the unspecified code E53.9

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is E53.9 an HCC code?

No. E53.9 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
E53.9
Description
Vitamin B deficiency, unspecified
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

E53.9 is the ICD-10-CM diagnosis code for vitamin b deficiency, unspecified. A condition where a patient lacks sufficient B vitamins in their body, but the specific type of B vitamin deficiency has not been identified or documented. This can cause fatigue, weakness, and nerve problems if left untreated. E53.9 sits in the ICD-10-CM chapter for endocrine, nutritional and metabolic diseases (e00-e89), within the section covering other nutritional deficiencies (e50-e64).

E53.9 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Use this code only when the specific B vitamin deficiency (B1, B2, B3, B6, B12, folate, etc.) cannot be determined from the medical record; always attempt to identify the specific deficiency first.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for E53.9 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code only when the specific B vitamin deficiency (B1, B2, B3, B6, B12, folate, etc.) cannot be determined from the medical record; always attempt to identify the specific deficiency first
  • If the deficiency is specified (such as B12 deficiency or folate deficiency), use the more specific ICD-10-CM codes (E53.8x series) rather than the unspecified code E53.9

Child Codes

Code Hierarchy

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