Skip to content

E64.9 ICD-10-CM Code: Sequelae of unspecified nutritional deficiency

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)

E64.9

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

Sequelae of unspecified nutritional deficiency

This code describes long-term health problems that result from a past nutritional deficiency when the specific type of deficiency is not documented or known. It's used when a patient has lasting effects from malnutrition but the exact cause cannot be identified.

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
E64Sequelae of malnutrition and other nutritional deficiencies
E64.9Sequelae of unspecified nutritional deficiency

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for E64.9 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for E64.9 in this effective period.

Related Child Codes

Official
E64.0Sequelae of protein-calorie malnutrition
E64.1Sequelae of vitamin A deficiency
E64.2Sequelae of vitamin C deficiency
E64.3Sequelae of rickets
E64.8Sequelae of other nutritional deficiencies

Includes

Official

ICD-10-CM does not list Includes notes for E64.9 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for E64.9 in this effective period.

Code First

Official
  • condition resulting from (sequela) of malnutrition and other nutritional deficiencies

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for E64.9 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for E64.9 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code only when the specific nutritional deficiency (such as vitamin deficiency, protein deficiency, or mineral deficiency) cannot be determined; if the type is known, use the more specific sequelae code instead
Ensure documentation clearly indicates these are late effects or sequelae of a previous nutritional problem rather than an active current deficiency

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 E64.9 an HCC code?

No. E64.9 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
E64.9
Description
Sequelae of unspecified nutritional deficiency
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

Get the V28 RAF + MEAT cheat sheet

One printable page: confirm a code's V28 HCC status, its RAF weight, and the MEAT your note needs to make it stick. Free, no card.

Free PDF. No card. Unsubscribe anytime.

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

What This Code Means

E64.9 is the ICD-10-CM diagnosis code for sequelae of unspecified nutritional deficiency. This code describes long-term health problems that result from a past nutritional deficiency when the specific type of deficiency is not documented or known. It's used when a patient has lasting effects from malnutrition but the exact cause cannot be identified. E64.9 sits in the ICD-10-CM chapter for endocrine, nutritional and metabolic diseases (e00-e89), within the section covering other nutritional deficiencies (e50-e64).

E64.9 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 nutritional deficiency (such as vitamin deficiency, protein deficiency, or mineral deficiency) cannot be determined; if the type is known, use the more specific sequelae code instead.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for E64.9 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 nutritional deficiency (such as vitamin deficiency, protein deficiency, or mineral deficiency) cannot be determined; if the type is known, use the more specific sequelae code instead
  • Ensure documentation clearly indicates these are late effects or sequelae of a previous nutritional problem rather than an active current deficiency

Child Codes

Code Hierarchy

Work E64.9 in HCC Buddy

Open E64.9 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 7 days to try everything, no card required.