D50 vs E46
D50 (Iron deficiency anemia) compared with E46 (Unspecified protein-calorie malnutrition), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. E46 carries an Excludes2 note covering D50: “nutritional anemias (D50-D53)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| D50Iron deficiency anemia | E46Unspecified protein-calorie malnutrition | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | D50-D89 — Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89) | E00-E89 — Endocrine, Nutritional and Metabolic Diseases (E00-E89) |
| Definition | Iron deficiency anemia is a non-billable ICD-10-CM category code (D50). | Unspecified protein-calorie malnutrition is a billable ICD-10-CM diagnosis code (E46). |
| Includes | asiderotic anemia hypochromic anemia | Malnutrition NOS Protein-calorie imbalance NOS |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources