D53.8 vs E60
D53.8 (Other specified nutritional anemias) compared with E60 (Dietary zinc 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. D53.8 carries an Excludes2 note covering E60: “zinc deficiency NOS (E60)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. E60 carries an Excludes2 note covering D53.8: “nutritional anemias (D50-D53)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| D53.8Other specified nutritional anemias | E60Dietary zinc deficiency | |
|---|---|---|
| Billing status | Billable | 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 specified nutritional anemias is a billable ICD-10-CM diagnosis code (D53.8). | Dietary zinc deficiency is a billable ICD-10-CM diagnosis code (E60). |
| Includes | megaloblastic anemia unresponsive to vitamin B12 or folate therapy Anemia associated with deficiency of copper Anemia associated with deficiency of molybdenum Anemia associated with deficiency of zinc | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources