Hi everyone,

Coding tip for the day…

Malnutrition and Intestinal Malabsorption on the Same Admission

Can you assign codes (E46 and K90.9) to both conditions?

There are conflicting excludes notes.

E40 – E46 Malnutrition has excludes 1 to K90- intestinal malabsorption

K00 – K95 Diseases of the digestive system has excludes 2 note for endocrine, nutritional and metabolic diseases (E00E88)

Yes, you can. These are separate conditions. Stay tuned for official coding advice from Coding Clinic.

Enjoy your coding!

Irene Fung, RN,  CCS,  AHIMA Approved ICD-10 CM/PCS Trainer
Manager QA/Education
Clinical Documentation Coding Integrity
Boston Medical Center