D53 vs E59
D53 (Other nutritional anemias) compared with E59 (Dietary selenium deficiency), 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. E59 carries an Excludes2 note covering D53: “nutritional anemias (D50-D53)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| D53Other nutritional anemias | E59Dietary selenium deficiency | |
|---|---|---|
| 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 | Other nutritional anemias is a non-billable ICD-10-CM category code (D53). | Dietary selenium deficiency is a billable ICD-10-CM diagnosis code (E59). |
| Includes | megaloblastic anemia unresponsive to vitamin B12 or folate therapy | Keshan disease |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources