E52 Niacin deficiency [pellagra]

The ICD-10-CM code for Niacin deficiency [pellagra] is E52 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

4: Endocrine, nutritional and metabolic diseases (E00-E89)

Section

E50-E64: Other nutritional deficiencies (E50-E64)

Category E52

1 code (1 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to E52:

• Pellagra (alcoholic)
• Niacin (amide) deficiency
• Nicotinic acid deficiency
• Avitaminosis (multiple) › nicotinic acid
• Alcohol, alcoholic, alcohol-induced › pellagra
• Deficiency, deficient › niacin (amide) (-tryptophan)
• Deficiency, deficient › nicotinamide
• Cheilosis (angular) › with pellagra

Inclusion Terms

• Niacin (-tryptophan) deficiency
• Nicotinamide deficiency
• Pellagra (alcoholic)

U.S. Hospital Utilization

• An estimated 315 U.S. inpatient stays in 2023 included E52 among the documented diagnoses.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Diabetes mellitus (TOC entry)

a. Diabetes mellitus ................................................................................................................... 39

Obesity (TOC entry)

b. Obesity .................................................................................................................................. 42

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)