E50.4 Vitamin A deficiency with keratomalacia

Billable ICD-10-CM code, FY2026.

Applies from E50 Vitamin A deficiency

Excludes1 (never code together)

• sequelae of vitamin A deficiency (E64.1)

MS-DRG index

Defines the logic of DRG(s) 124-125 in MDC 02.

Approximate ICD-9-CM (GEMs)

• 264.4 Vitamin A deficiency with keratomalacia

Code annotations containing back-references to E50.4

Back-references to E50.4

• Type 1 Excludes: H18.44 Keratomalacia ("keratomalacia due to vitamin A deficiency (E50.4)")

Back-references to E50

• Code First: G63 Polyneuropathy in diseases classified elsewhere ("nutritional deficiency (E40-E64)")
• Type 1 Excludes: T45.2X6 Underdosing of vitamins ("vitamin deficiencies (E50-E56)")
• Type 1 Excludes: Z72.4 Inappropriate diet and eating habits ("malnutrition and other nutritional deficiencies (E40-E64)")

Diagnosis Index entries for E50.4

• Deficiency, deficient › vitamin (multiple) NOS › A › with › keratomalacia
• Keratitis (nodular) (nonulcerative) (simple) (zonular) › xerotic › vitamin A deficiency
• Keratomalacia › vitamin A deficiency

Nearby codes

• E50 Vitamin A deficiency
• E50.0 Vitamin A deficiency with conjunctival xerosis
• E50.1 Vitamin A deficiency with Bitot's spot and conjunctival xerosis
• E50.2 Vitamin A deficiency with corneal xerosis
• E50.3 Vitamin A deficiency with corneal ulceration and xerosis
• E50.4 Vitamin A deficiency with keratomalacia (this code)
• E50.5 Vitamin A deficiency with night blindness
• E50.6 Vitamin A deficiency with xerophthalmic scars of cornea
• E50.7 Other ocular manifestations of vitamin A deficiency
• E50.8 Other manifestations of vitamin A deficiency
• E50.9 Vitamin A deficiency, unspecified