E53.8

Deficiency of other specified B group vitamins

FY2027Chapter 4: Endocrine, nutritional and metabolic diseases/E50–E64 Other nutritional deficiencies

BillableComplete code, valid to report

E53.8 (also written E538) is a billable ICD-10-CM diagnosis code for deficiency of other specified B group vitamins. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 4 codes in category E53 (Deficiency of other B group vitamins). The Alphabetic Index lists it under 30 entries. Its coding notes include 3 Excludes1 entries and 2 Excludes2 entries.

Excludes1

Not coded here. The listed conditions generally should not be reported together.

This code
  • folate deficiency anemia (D52.-)
Inherited from E53 Deficiency of other B group vitamins
  • sequelae of vitamin B deficiency (E64.8)
Also from chapter/block level (1 note)
Inherited from Chapter 4 Endocrine, nutritional and metabolic diseases
  • transitory endocrine and metabolic disorders specific to newborn (P70-P74)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

This code
  • vitamin B12 deficiency anemia (D51.-)
Also from chapter/block level (1 note)
Inherited from E50–E64 Other nutritional deficiencies

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Other clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Inclusion terms

Conditions classified to this code.

This code
  • Biotin deficiency
  • Cyanocobalamin deficiency
  • Folate deficiency
  • Folic acid deficiency
  • Pantothenic acid deficiency
  • Vitamin B12 deficiency

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 4 Endocrine, nutritional and metabolic diseases
  • 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.

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 30 entries

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