AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 4; Ask the Editor

Malnutrition and Malabsorption

A 45-year-old patient, who was diagnosed with scleroderma, severe gastroparesis, weight loss, severe malnutrition, and severe malabsorption, was admitted for total parenteral nutrition and placement of a peripherally inserted central catheter. Code E43, Unspecified severe protein-calorie malnutrition, is assigned for severe malnutrition and code K90.9, Intestinal malabsorption, unspecified, is assigned for malabsorption. There is an Excludes2 note at the beginning of Chapter 11 (K00-K95), and an Excludes1 note at the beginning category E40-E46. Based on the conflicting Excludes notes, please clarify whether the coding professional may assign code E43 and code K90.9 together? ...

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