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E45

E45Retarded development following protein-calorie malnutrition

Billable / specific codeICD-10-CM

E45 is a billable, specific ICD-10-CM code for retarded development following protein-calorie malnutrition. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Nutritional short stature
  • Nutritional stunting
  • Physical retardation due to malnutrition

Other codes that can never be billed with E45

These codes carry an Excludes1 note pointing at E45. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading E45 alone.

  • R62.5Other and unspecified lack of expected normal physiological development in childhood
  • E34.3Short stature due to endocrine disorder

Risk adjustment

E45 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

E45 is named in 3 Medicare coverage policies 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A56416Billing and Coding: Assays for Vitamins and Metabolic Function
  • A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
  • A57755Billing and Coding: Vitamin B<sub>12</sub> Injections

How E45 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to E45.

  • Nutritional stunting
  • Stunting, nutritional
  • Dwarfismnutritional
  • Dystrophy, dystrophiadue to malnutrition
  • Dystrophy, dystrophianutritional
  • Developmentarresteddue to malnutrition
  • Retardationgrowthdue to malnutrition
  • Retardationphysicaldue to malnutrition

Questions about E45

Is E45 a billable ICD-10-CM code?
Yes. E45 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does E45 sit in the tabular list?
Endocrine, nutritional and metabolic diseases (E00-E89), in the block Malnutrition (E40-E46).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.