E45 — Retarded development following protein-calorie malnutrition
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.
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
- Dwarfism›nutritional
- Dystrophy, dystrophia›due to malnutrition
- Dystrophy, dystrophia›nutritional
- Development›arrested›due to malnutrition
- Retardation›growth›due to malnutrition
- Retardation›physical›due 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).