E41

Nutritional marasmus

Risk-adjusting (HCC)Billable code

HCC risk adjustment mapping

CMS-HCC ESRD V24

HCC21

Protein-Calorie Malnutrition

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

This code · E41
Excludes 1

marasmic kwashiorkor (E42)

Synonyms

Severe malnutrition with marasmus

Inherited from E40-E46Malnutrition
Excludes 1

intestinal malabsorption (K90.-) sequelae of protein-calorie malnutrition (E64.0)

Excludes 2

nutritional anemias (D50-D53) starvation (T73.0)

Inherited from chapter 4Endocrine, nutritional and metabolic diseases
Excludes 1

transitory endocrine and metabolic disorders specific to newborn (P70-P74)

Official Guidelines for E41

FY 2026 ›