E41 Nutritional marasmus

Billable ICD-10-CM code, FY2026. Acts as a Major Complication or Comorbidity (MCC) as a secondary diagnosis.

Applicable to

• Severe malnutrition with marasmus

Excludes1 (never code together)

• marasmic kwashiorkor (E42)

Applies from E41 Nutritional marasmus

Applicable to

• Severe malnutrition with marasmus

Excludes1 (never code together)

• marasmic kwashiorkor (E42)

Risk adjustment (HCC)

• CMS-HCC V22: HCC 21 — Protein-Calorie Malnutrition
• ESRD V24: HCC 21

MS-DRG index

Defines the logic of DRG(s) 640-641 in MDC 10.

Approximate ICD-9-CM (GEMs)

• 261 Nutritional marasmus (approximate)

Code annotations containing back-references to E41

Back-references to E41

• Code First: E08 Diabetes mellitus due to underlying condition ("malnutrition (E40-E46)")
• Type 1 Excludes: E88.A Wasting disease (syndrome) due to underlying condition ("nutritional marasmus (E41)")
• Code First: G63 Polyneuropathy in diseases classified elsewhere ("nutritional deficiency (E40-E64)")
• Code First: H28 Cataract in diseases classified elsewhere ("protein-calorie malnutrition (E40-E46)")
• Type 2 Excludes: R60.1 Generalized edema ("nutritional edema (E40-E46)")
• Code Also: R63.31 Pediatric feeding disorder, acute ("malnutrition (E40-E46)")
• Code Also: R63.32 Pediatric feeding disorder, chronic ("malnutrition (E40-E46)")
• Type 1 Excludes: R63.6 Underweight ("malnutrition (E40-E46)")
• Type 1 Excludes: R64 Cachexia ("nutritional marasmus (E41)")
• Type 2 Excludes: Z59.4 Lack of adequate food ("malnutrition (E40-E46)")
• Type 1 Excludes: Z72.4 Inappropriate diet and eating habits ("malnutrition and other nutritional deficiencies (E40-E64)")

Back-references to E41

• Code First: E08 Diabetes mellitus due to underlying condition ("malnutrition (E40-E46)")
• Type 1 Excludes: E88.A Wasting disease (syndrome) due to underlying condition ("nutritional marasmus (E41)")
• Code First: G63 Polyneuropathy in diseases classified elsewhere ("nutritional deficiency (E40-E64)")
• Code First: H28 Cataract in diseases classified elsewhere ("protein-calorie malnutrition (E40-E46)")
• Type 2 Excludes: R60.1 Generalized edema ("nutritional edema (E40-E46)")
• Code Also: R63.31 Pediatric feeding disorder, acute ("malnutrition (E40-E46)")
• Code Also: R63.32 Pediatric feeding disorder, chronic ("malnutrition (E40-E46)")
• Type 1 Excludes: R63.6 Underweight ("malnutrition (E40-E46)")
• Type 1 Excludes: R64 Cachexia ("nutritional marasmus (E41)")
• Type 2 Excludes: Z59.4 Lack of adequate food ("malnutrition (E40-E46)")
• Type 1 Excludes: Z72.4 Inappropriate diet and eating habits ("malnutrition and other nutritional deficiencies (E40-E64)")

Diagnosis Index entries for E41

• Athrepsia
• Atrophy, atrophic (of) › infantile
• Atrophy, atrophic (of) › nutritional › with marasmus
• Deficiency, deficient › calorie, severe › with marasmus
• Disease, diseased › wasting NEC › due to › malnutrition › with marasmus
• Malnutrition › degree › severe (protein-energy) › with › marasmus
• Malnutrition › protein › calorie › severe › with › marasmus
• Malnutrition › protein › energy › severe › with › marasmus
• Malnutrition › severe (protein-energy) › intermediate form › marasmus
• Marasmus
• Marasmus › due to malnutrition
• Marasmus › intestinal
• Marasmus › nutritional
• Pedatrophia
• Wasting › disease (syndrome) › due to › malnutrition › with marasmus
• Wasting › extreme (due to malnutrition) › with marasmus

Nearby codes

• E41 Nutritional marasmus (this code)