E42BillableSave

E42 - Marasmic kwashiorkor

ICD-10-CM Chapter 4: Endocrine, nutritional and metabolic diseases · E40-E46 Malnutrition (E40-E46) · Top-level category · FY2027

Applicable To

Inclusion terms listed under E42 in the ICD-10-CM tabular list.

  • Intermediate form severe protein-calorie malnutrition
  • Severe protein-calorie malnutrition with signs of both kwashiorkor and marasmus

Includes, Excludes and Coding Notes

Excludes 1 — Not Coded HereFrom E40-E46 Malnutrition (E40-E46)

Mutually exclusive: these conditions are never reported together with this code.

  • intestinal malabsorption (K90.-)
  • sequelae of protein-calorie malnutrition (E64.0)
Excludes 2 — Not Included HereFrom E40-E46 Malnutrition (E40-E46)

Not part of this code; report both codes when the patient has both conditions.

  • nutritional anemias (D50-D53)
  • starvation (T73.0)
Excludes 1 — Not Coded HereFrom Chapter E00-E89

Mutually exclusive: these conditions are never reported together with this code.

  • transitory endocrine and metabolic disorders specific to newborn (P70-P74)
NotesFrom Chapter E00-E89

Instructional notes from the ICD-10-CM tabular list.

  • All neoplasms, whether functionally active or not, are classified in Chapter 2. Appropriate codes in this chapter (i.e. E05.8, E07.0, E16-E31, E34.-) may be used as additional codes to indicate either functional activity by neoplasms and ectopic endocrine tissue or hyperfunction and hypofunction of endocrine glands associated with neoplasms and other conditions classified elsewhere.

Inpatient DRG Payments

DRG 64077,795 discharges

Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc

Avg. Medicare Payment

$10,630

Total Payment$12,791
Patient Responsibility$2,161
Hospital Charge$60,293
DRG 64166,811 discharges

Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc

Avg. Medicare Payment

$5,891

Total Payment$7,789
Patient Responsibility$1,898
Hospital Charge$37,058