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E61.8 ICD-10-CM Code: Deficiency of other specified nutrient elements

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

E61.8

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

Deficiency of other specified nutrient elements

This code describes a deficiency of a nutrient element that is not specifically listed in other deficiency codes, such as deficiencies in minerals or trace elements like selenium, chromium, or molybdenum. It is used when a patient has a documented nutritional deficiency that doesn't fit into more specific nutrient deficiency categories.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
E61Deficiency of other nutrient elements
E61.8Deficiency of other specified nutrient elements

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for E61.8 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for E61.8 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 E61.8 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 E61.8 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 E61.8 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Always document the specific nutrient element that is deficient in the medical record, as E61.8 is a catch-all code and specificity helps with clinical clarity and potential future audits
Review the medical record carefully to determine if a more specific nutrient deficiency code (E61.0-E61.7) applies before defaulting to E61.8, as payers may request clarification on unspecified nutrient deficiencies

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 E61.8 an HCC code?

No. E61.8 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

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

E61.8 is the ICD-10-CM diagnosis code for deficiency of other specified nutrient elements. This code describes a deficiency of a nutrient element that is not specifically listed in other deficiency codes, such as deficiencies in minerals or trace elements like selenium, chromium, or molybdenum. It is used when a patient has a documented nutritional deficiency that doesn't fit into more specific nutrient deficiency categories. E61.8 sits in the ICD-10-CM chapter for endocrine, nutritional and metabolic diseases (e00-e89), within the section covering other nutritional deficiencies (e50-e64).

E61.8 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.

Always document the specific nutrient element that is deficient in the medical record, as E61.8 is a catch-all code and specificity helps with clinical clarity and potential future audits.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for E61.8 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Always document the specific nutrient element that is deficient in the medical record, as E61.8 is a catch-all code and specificity helps with clinical clarity and potential future audits
  • Review the medical record carefully to determine if a more specific nutrient deficiency code (E61.0-E61.7) applies before defaulting to E61.8, as payers may request clarification on unspecified nutrient deficiencies

Child Codes

Code Hierarchy

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