ICD-10-CM Code For Deficiency Of Other Nutrient Elements: Group Overview

The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group E61 includes deficiencies of nutrient elements other than commonly listed vitamins and minerals, such as trace element deficiencies and other specified mineral deficiencies that can cause systemic clinical problems. These ICD-10-CM diagnosis codes are used to document clinical scenarios involving identified or suspected lack of specific nutrient elements, capturing disease severity, organ involvement, or clinical complexity relevant to this group. Accurate coding within the ICD-10-CM E61 group supports proper claim adjudication.

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ICD-10-CM E61: Deficiency Of Other Nutrient Elements Overview

The diagnoses in this group describe deficiencies of specific nutrient elements other than the more common vitamins and minerals, often affecting metabolic, hematologic, neurologic, or musculoskeletal systems. These conditions target systemic nutritional status and can reflect dietary insufficiency, malabsorption, or increased physiological needs. Accurate coding matters for reimbursement because it documents medical necessity and severity, supporting appropriate claim adjudication.

When to Use

Use a code from this group when a clinician documents a deficiency of a specified nutrient element or when clinical and laboratory evidence supports such a diagnosis. These codes apply in cases of dietary insufficiency, malabsorption, increased physiological demand, or other etiologies leading to a documented deficiency.

ICD-10-CM Codes

10 rows

ICD-10-CM Code	Description
E61.0	Copper deficiency
E61.1	Iron deficiency
E61.2	Magnesium deficiency
E61.3	Manganese deficiency
E61.4	Chromium deficiency
E61.5	Molybdenum deficiency
E61.6	Vanadium deficiency
E61.7	Deficiency of multiple nutrient elements
E61.8	Deficiency of other specified nutrient elements
E61.9	Deficiency of nutrient element, unspecified

DRG Codes

2 rows

DRG Code	Description
640	Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC
641	Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC

Typical Clinical Scenarios

An elderly patient in a long‑term care facility develops increasing fatigue, muscle weakness, and paresthesias over weeks; laboratory testing shows low serum copper and signs of neutropenia. The patient is evaluated for malabsorption and chronic nutritional deficiency related to poor oral intake and gastric bypass history, prompting assignment of a code for copper deficiency because levels and clinical features are consistent with that deficiency. Typical codes: E61.1, E61.8
A young child presents to the emergency department with failure-to-thrive, hair depigmentation, and scaly dermatitis after prolonged exclusive feeding with an unfortified homemade formula; workup identifies biotin deficiency. The acute presentation with specific dermatologic and neurologic findings in a pediatric patient leads to use of the code for biotin deficiency as the principal diagnosis. Typical codes: E61.2
An adult with chronic alcoholism and cirrhosis is admitted for worsening encephalopathy and peripheral neuropathy; nutritional assessment reveals multiple micronutrient deficits including thiamine and other trace element insufficiencies due to poor diet and malabsorption. On the inpatient problem list, codes reflecting thiamine deficiency and other specific nutrient element deficiencies are assigned as comorbid conditions contributing to the clinical picture. Typical codes: E61.0, E61.8

Related Codes

E50-VITAMIN-A-DEFICIENCY

ICD-10-CM Code For Vitamin A Deficiency: Group Overview

E51-THIAMINE-DEFICIENCY

ICD-10-CM Code For Thiamine Deficiency: Group Overview

E52-NIACIN-DEFICIENCY-PELLAGRA

ICD-10-CM Code For Niacin Deficiency [Pellagra]: Group Overview

E53-DEFICIENCY-OF-OTHER-B-GROUP-VITAMINS

ICD-10-CM Code For Deficiency Of Other B Group Vitamins: Group Overview

E54-ASCORBIC-ACID-DEFICIENCY

ICD-10-CM Code For Ascorbic Acid Deficiency: Group Overview

E55-VITAMIN-D-DEFICIENCY

ICD-10-CM Code For Vitamin D Deficiency: Group Overview

E56-OTHER-VITAMIN-DEFICIENCIES

ICD-10-CM Code For Other Vitamin Deficiencies: Group Overview

E58-DIETARY-CALCIUM-DEFICIENCY

ICD-10-CM Code For Dietary Calcium Deficiency: Group Overview

E59-DIETARY-SELENIUM-DEFICIENCY

ICD-10-CM Code For Dietary Selenium Deficiency: Group Overview

E60-DIETARY-ZINC-DEFICIENCY

ICD-10-CM Code For Dietary Zinc Deficiency: Group Overview

Showing 1–10 of 12

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-CM Codes

10 rows

ICD-10-CM Code	Description
E61.0	Copper deficiency
E61.1	Iron deficiency
E61.2	Magnesium deficiency
E61.3	Manganese deficiency
E61.4	Chromium deficiency
E61.5	Molybdenum deficiency
E61.6	Vanadium deficiency
E61.7	Deficiency of multiple nutrient elements
E61.8	Deficiency of other specified nutrient elements
E61.9	Deficiency of nutrient element, unspecified

DRG Codes

2 rows

DRG Code	Description
640	Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC
641	Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC

Typical Clinical Scenarios

An elderly patient in a long‑term care facility develops increasing fatigue, muscle weakness, and paresthesias over weeks; laboratory testing shows low serum copper and signs of neutropenia. The patient is evaluated for malabsorption and chronic nutritional deficiency related to poor oral intake and gastric bypass history, prompting assignment of a code for copper deficiency because levels and clinical features are consistent with that deficiency. Typical codes: E61.1, E61.8
A young child presents to the emergency department with failure-to-thrive, hair depigmentation, and scaly dermatitis after prolonged exclusive feeding with an unfortified homemade formula; workup identifies biotin deficiency. The acute presentation with specific dermatologic and neurologic findings in a pediatric patient leads to use of the code for biotin deficiency as the principal diagnosis. Typical codes: E61.2
An adult with chronic alcoholism and cirrhosis is admitted for worsening encephalopathy and peripheral neuropathy; nutritional assessment reveals multiple micronutrient deficits including thiamine and other trace element insufficiencies due to poor diet and malabsorption. On the inpatient problem list, codes reflecting thiamine deficiency and other specific nutrient element deficiencies are assigned as comorbid conditions contributing to the clinical picture. Typical codes: E61.0, E61.8

Related Codes

E50-VITAMIN-A-DEFICIENCY

ICD-10-CM Code For Vitamin A Deficiency: Group Overview

E51-THIAMINE-DEFICIENCY

ICD-10-CM Code For Thiamine Deficiency: Group Overview

E52-NIACIN-DEFICIENCY-PELLAGRA

ICD-10-CM Code For Niacin Deficiency [Pellagra]: Group Overview

E53-DEFICIENCY-OF-OTHER-B-GROUP-VITAMINS

ICD-10-CM Code For Deficiency Of Other B Group Vitamins: Group Overview

E54-ASCORBIC-ACID-DEFICIENCY

ICD-10-CM Code For Ascorbic Acid Deficiency: Group Overview

E55-VITAMIN-D-DEFICIENCY

ICD-10-CM Code For Vitamin D Deficiency: Group Overview

E56-OTHER-VITAMIN-DEFICIENCIES

ICD-10-CM Code For Other Vitamin Deficiencies: Group Overview

E58-DIETARY-CALCIUM-DEFICIENCY

ICD-10-CM Code For Dietary Calcium Deficiency: Group Overview

E59-DIETARY-SELENIUM-DEFICIENCY

ICD-10-CM Code For Dietary Selenium Deficiency: Group Overview

E60-DIETARY-ZINC-DEFICIENCY

ICD-10-CM Code For Dietary Zinc Deficiency: Group Overview

Showing 1–10 of 12

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-CM Code For Deficiency Of Other Nutrient Elements: Group Overview

Sign up for ICD-10-CM Code For Deficiency Of Other Nutrient Elements: Group Overview policy alerts

ICD-10-CM E61: Deficiency Of Other Nutrient Elements Overview

ICD-10-CM Code For Deficiency Of Other Nutrient Elements: Group Overview

Sign up for ICD-10-CM Code For Deficiency Of Other Nutrient Elements: Group Overview policy alerts

ICD-10-CM E61: Deficiency Of Other Nutrient Elements Overview

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What does ICD-10-CM group `E61` represent?

Which specific codes are included in the `E61` group?

Why is accurate coding within `E61` important for reimbursement?

Which related DRGs are associated with `E61` diagnoses?

What clinical scenarios do `E61` codes capture?

References

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What does ICD-10-CM group `E61` represent?

Which specific codes are included in the `E61` group?

Why is accurate coding within `E61` important for reimbursement?

Which related DRGs are associated with `E61` diagnoses?

What clinical scenarios do `E61` codes capture?

References