ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 E52

Billable / Specific

Niacin deficiency [pellagra]

E52
Block
3
Synonyms
55
LCDs
9
Payer Policies
0
Linked CPTs

About ICD-10-CM E52

ICD-10-CM code E52 represents Niacin deficiency [pellagra]. This is a billable/specific code in the Endocrine, Nutritional, and Metabolic chapter (block E52). The 2026 edition of ICD-10-CM E52 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under E52. Per CMS ICD-10-CM Tabular 2026.

  • Niacin (-tryptophan) deficiency
  • Nicotinamide deficiency
  • Pellagra (alcoholic)

Type 1 Excludes

Pure excludes, these codes can never be coded together with E52. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • sequelae of niacin deficiency (E64.8)

Medicare LCD Coverage for E52

Local Coverage Determinations (LCDs) from CMS MACs that list E52 as a covered diagnosis.

55 LCDs

Showing top 10 of 55 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11719 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11721 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11057 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11720 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT G0127 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11055 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 56680, Effective: 2025-11-01 00:00:00, 1041 covered, 0 non-covered
CPT 11056 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 57188, Effective: 2025-10-01 00:00:00, 812 covered, 1 non-covered
CPT 11719 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 57188, Effective: 2025-10-01 00:00:00, 812 covered, 1 non-covered
CPT 11721 →
CMS LCD: Billing and Coding: Routine Foot Care
Article ID: 57188, Effective: 2025-10-01 00:00:00, 812 covered, 1 non-covered
CPT 11057 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing E52.

9 policies

1 Cigna

Anesthesia and Facility Services for Dental Treatment - (0415)
Policy ID: MM_0415

5 Medicare

Billing and Coding: Routine Foot Care
Policy ID: ART-52996
Billing and Coding: Foot Care
Policy ID: ART-56232
Billing and Coding: Routine Foot Care
Policy ID: ART-56680
Billing and Coding: Routine Foot Care
Policy ID: ART-57188
Billing and Coding: Routine Foot Care and Debridement of Nails
Policy ID: ART-57193

CPT Codes Commonly Billed with E52

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for E52

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert E52 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
E52 2652 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 E52, Billing FAQ

Is ICD-10 code E52 billable? +

Yes, E52 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to E52? +

ICD-10 E52 includes: Niacin (-tryptophan) deficiency; Nicotinamide deficiency; Pellagra (alcoholic).

What codes are Type 1 Excludes for E52? +

Type 1 Excludes (never code together with E52): sequelae of niacin deficiency (E64.8)

What ICD-9 codes does E52 map to? +

Per CMS GEMs, E52 maps to ICD-9 codes: 2652. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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