Deficiency of multiple nutrient elements

This code signifies a state where an individual lacks adequate levels of several essential vitamins, minerals, or other nutrient elements simultaneously. It indicates a generalized nutritional deficit affecting multiple bodily functions rather than a single, isolated deficiency. This condition can lead to a wide range of non-specific symptoms and systemic health issues.

Apply this code when documentation clearly indicates a deficiency of more than one specific nutrient element, such as concurrent iron and vitamin D deficiency, or a broader diagnosis of "multiple nutrient deficiencies." Supporting documentation should include laboratory findings confirming low levels of various nutrients, or a physician's explicit diagnosis based on clinical assessment and dietary history.

• Do not use this code if only a single nutrient deficiency is identified; instead, code the specific deficiency (e.g., E55.9 for Vitamin D deficiency).
• Ensure the medical record explicitly states "multiple" or lists several deficient nutrients to support this code.
• Consider sequencing this code as a secondary diagnosis if a specific underlying cause (e.g., malabsorption syndrome, chronic disease) is documented.