E64.9 ICD-10-CM Code: Sequelae of unspecified nutritional deficiency
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 guidanceSequelae 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
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for E64.9 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for E64.9 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for E64.9 in this effective period.
Excludes 1
OfficialICD-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
OfficialICD-10-CM does not list Use Additional Code instructions for E64.9 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for E64.9 in this effective period.
Buddy Documentation Tip
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
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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

