E61.4 — Chromium deficiency
Is E61.4 billable?
Yes — E61.4 is billable for FY2027. E61.4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. E61.4 may be submitted for encounters from October 1, 2026 through September 30, 2027.
E61.4 at a glance
| Code | E61.4 |
|---|---|
| Description | Chromium deficiency |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does E61.4 group to?
E61.4 sits in MDC 10 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 640Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCCmedical
- 641Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCCmedical
How is E61.4 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to E61.4. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Deficiency, deficient › chromium
Excludes1 — never code together — inherited from Chapter 4
The conditions below can never be reported together with E61.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- transitory endocrine and metabolic disorders specific to newborn (P70-P74)
Excludes1 — never code together — inherited from E61
The conditions below can never be reported together with E61.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from E61
Report an additional code alongside E61.4 to fully describe the condition. E61.4 is sequenced first.
- code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
Excludes2 — not included here — inherited from E50-E64
The conditions below are not part of E61.4, but a patient may have both at the same time. When documentation supports it, E61.4 and the excluded code may both be reported.
- nutritional anemias (D50-D53)
How long has E61.4 existed?
E61.4 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.