ICD-10 Code E46 – Unspecified protein-calorie malnutrition (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Unspecified protein-calorie malnutrition is E46.
2026 ICD-10-CM Diagnosis Code E46 – Unspecified protein-calorie malnutrition

What it is

E46 identifies protein-calorie malnutrition when the record does not specify the type or severity. Use it for general undernutrition involving inadequate protein and calorie intake or absorption.

Clinical signs

Clinical features vary; refer to documentation. Commonly recorded findings include weight loss, reduced body mass, poor intake, muscle wasting, or weakness, but you should code only what is documented.

When to use this code

Use E46 when the provider documents malnutrition without naming a more specific form, such as mild, moderate, or severe protein-calorie malnutrition. It also fits when the chart notes undernutrition or protein-calorie malnutrition but gives no further detail. If the documentation is unclear, check documentation before coding.

Do not use for

Do not use E46 when the record specifies a more detailed malnutrition code or another cause of poor nutrition. Do not guess severity or type from weight loss alone.

Coding tip

Query for severity or type when the note says malnutrition but does not clearly support an unspecified diagnosis.

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