ICD-10 E55
Non-Billable HeaderVitamin D deficiency
About ICD-10-CM E55
ICD-10-CM code E55 represents Vitamin D deficiency. This is a non-billable header code in the Endocrine, Nutritional, and Metabolic chapter (block E55). The 2026 edition of ICD-10-CM E55 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with E55. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- adult osteomalacia (M83.-)
- osteoporosis (M80.-)
- sequelae of rickets (E64.3)
Medicare LCD Coverage for E55
Local Coverage Determinations (LCDs) from CMS MACs that list E55 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing E55.
1 Cigna
CPT Codes Commonly Billed with E55
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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.
Codes Adjacent To E55
Other codes in section E50-E64 (Other nutritional deficiencies).
ICD-10 E55, Billing FAQ
Is ICD-10 code E55 billable? +
No, E55 is a non-billable header code. Use a more specific child code from block E55 when submitting claims.
What codes are Type 1 Excludes for E55? +
Type 1 Excludes (never code together with E55): adult osteomalacia (M83.-); osteoporosis (M80.-); sequelae of rickets (E64.3)
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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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