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E61 ICD-10-CM Code: Deficiency of other nutrient elements

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

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

E61

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Deficiency of other nutrient elements

Deficiency of other nutrient elements

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
E6Other nutritional deficiencies (E50-E64)
E61Deficiency of other nutrient elements

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for E61 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for E61 in this effective period.

Related Child Codes

Official
E61.0Copper deficiency
E61.1Iron deficiency
E61.2Magnesium deficiency
E61.3Manganese deficiency
E61.4Chromium deficiency

Includes

Official

ICD-10-CM does not list Includes notes for E61 in this effective period.

Excludes 1

Official
  • disorders of mineral metabolism (E83.-)
  • iodine deficiency related thyroid disorders (E00-E02)
  • sequelae of malnutrition and other nutritional deficiencies (E64.-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for E61 in this effective period.

Use Additional

Official
  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Code Also

Official

ICD-10-CM does not list Code Also instructions for E61 in this effective period.

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.

Coder workflow notes

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What This Code Means

E61 is the ICD-10-CM diagnosis code for deficiency of other nutrient elements. E61 sits in the ICD-10-CM chapter for endocrine, nutritional and metabolic diseases (e00-e89), within the section covering other nutritional deficiencies (e50-e64).

Header codes like E61 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at E61's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for E61 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • disorders of mineral metabolism (E83.-)
  • iodine deficiency related thyroid disorders (E00-E02)
  • sequelae of malnutrition and other nutritional deficiencies (E64.-)

Use Additional Code

  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Child Codes

Code Hierarchy

E61Deficiency of other nutrient elements
E61Deficiency of other nutrient elements

Work E61 in HCC Buddy

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