MCMCB Pro
E59

E59Dietary selenium deficiency

Billable / specific codeICD-10-CM

E59 is a billable, specific ICD-10-CM code for dietary selenium deficiency. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • sequelae of selenium deficiency (E64.8)

Inclusion terms

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

  • Keshan disease

Risk adjustment

E59 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.

How E59 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 E59.

  • Keshan disease
  • Selenium deficiency, dietary
  • Deficiency, deficientselenium(dietary)
  • Disease, diseasedKeshan

Questions about E59

Is E59 a billable ICD-10-CM code?
Yes. E59 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does E59 sit in the tabular list?
Endocrine, nutritional and metabolic diseases (E00-E89), in the block Other nutritional deficiencies (E50-E64).
What cannot be coded together with E59?
E59 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
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.