K90 ICD-10-CM Code: Intestinal malabsorption
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coding at a Glance
- Tabular directives
- 1 Excludes1
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for K90 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- intestinal malabsorption following gastrointestinal surgery (K91.2) Compare K90 vs K91.2 →
Coder workflow for K90
MedCoder structured workflow — derived from this code’s own official record
Before you code K90
- K90 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
ReviewK90.0, K90.1, K90.2, K90.3, K90.4, K90.8, K90.9
See the relationships section · Guide: How to choose an ICD-10-CM code →
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with K90. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support one of the more specific codes beneath K90?
Yes → Select that code and continue the checks below on its own page.
No → K90 cannot be reported as written; query for the specificity its subcategory needs. - Does the documentation support a condition named in K90’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.ReviewK91.2
Consider K90. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Official instructions as workflow
Excludes1 — check before selecting K90(1 note)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with K90: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
CompareK91.2
See the official tabular notes · Guidelines I.A.12.a
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition K90 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
ReviewK91.2
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name K90 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 9 Excludes1 notes across 2 chapters: E40 — Kwashiorkor, E40-E46 — Malnutrition (E40-E46), E41 — Nutritional marasmus, E42 — Marasmic kwashiorkor, E43 — Unspecified severe protein-calorie malnutrition, E44 — Protein-calorie malnutrition of moderate and mild degree, E45 — Retarded development following protein-calorie malnutrition, E46 — Unspecified protein-calorie malnutrition, K59 — Other functional intestinal disorders.
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Contextual Map
Every relationship of K90 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run K90 with these 9 related codes in Claim Check
Hierarchy
- K00-K95 — Chapter 11: Diseases of the Digestive System (K00-K95) (K00-K95)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K90-K95 — Other diseases of the digestive system[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Excludes1
- K91.2 — Postsurgical malabsorption, not elsewhere classified[Excludes1]: “intestinal malabsorption following gastrointestinal surgery (K91.2)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Excludes1 notes (9)
- E40 — Kwashiorkor[Excludes1]: “intestinal malabsorption (K90.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- E40-E46 — Malnutrition (E40-E46)[Excludes1]: “intestinal malabsorption (K90.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- E41 — Nutritional marasmus[Excludes1]: “intestinal malabsorption (K90.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- E42 — Marasmic kwashiorkor[Excludes1]: “intestinal malabsorption (K90.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- E43 — Unspecified severe protein-calorie malnutrition[Excludes1]: “intestinal malabsorption (K90.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- E44 — Protein-calorie malnutrition of moderate and mild degree[Excludes1]: “intestinal malabsorption (K90.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- E45 — Retarded development following protein-calorie malnutrition[Excludes1]: “intestinal malabsorption (K90.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- E46 — Unspecified protein-calorie malnutrition[Excludes1]: “intestinal malabsorption (K90.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- and 1 more
Nearest codes (16)
- K90.0 — Celiac disease[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K90.1 — Tropical sprue[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K90.2 — Blind loop syndrome, not elsewhere classified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K90.3 — Pancreatic steatorrhea[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K90.4 — Other malabsorption due to intolerance[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K90.41 — Non-celiac gluten sensitivity[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K90.49 — Malabsorption due to intolerance, not elsewhere classified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- K90.8 — Other intestinal malabsorption[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 8 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Can K90 be billed directly?
No. K90 (Intestinal malabsorption) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "K90 — Intestinal malabsorption." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/k90-intestinal-malabsorption
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionIntestinal malabsorption
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to K90 in its code family, with their registry titles.
- K90.0 — Celiac disease
- K90.1 — Tropical sprue
- K90.2 — Blind loop syndrome, not elsewhere classified
- K90.3 — Pancreatic steatorrhea
- K90.4 — Other malabsorption due to intolerance
- K90.41 — Non-celiac gluten sensitivity
- K90.49 — Malabsorption due to intolerance, not elsewhere classified
- K90.8 — Other intestinal malabsorption
- K90.81 — Whipple's disease
- K90.82 — Short bowel syndrome
- K90.821 — Short bowel syndrome with colon in continuity
- K90.822 — Short bowel syndrome without colon in continuity
- K90.829 — Short bowel syndrome, unspecified
- K90.83 — Intestinal failure
- K90.89 — Other intestinal malabsorption
- K90.9 — Intestinal malabsorption, unspecified