ICD-10-CM 2027 diagnosis code
E51.2Wernicke's encephalopathy
E51.2 is a valid, billable ICD-10-CM code for wernicke's encephalopathy. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.
Looking up by condition? See ICD-10 code for Polioencephalopathy.
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About E51.2
E51.2 is the ICD-10-CM diagnosis code for Wernicke's encephalopathy. It belongs to category E51 (thiamine deficiency), block E50-E64 (other nutritional deficiencies) and chapter 4 (endocrine, nutritional and metabolic diseases). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
Within E51 (thiamine deficiency), E51.2 is specifically for Wernicke's encephalopathy. Related codes cover beriberi (E51.1), other manifestations of thiamine deficiency (E51.8) and unspecified (E51.9).
As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.
In MS-DRG v44.0, it is part of the grouping logic for DRG 640 (Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC, relative weight 1.3395) and DRG 641 (Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC, relative weight 0.7865), in MDC 10 (Endocrine, Nutritional and Metabolic Diseases and Disorders), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as 265.1 (other and unspecified manifestations of thiamine deficiency).
Notes that apply from higher levels
Instructions written at a parent level also apply to E51.2.
› From E51 Thiamine deficiency
- sequelae of thiamine deficiency (E64.8)
Broader instructions also apply from E50-E64 Other nutritional deficiencies and Chapter 4: Endocrine, nutritional and metabolic diseases.
Alphabetic index entries
11 entriesTerms in the official ICD-10-CM index that lead to E51.2.
- Degeneration, degenerative › brain (cortical) (progressive) › in › beriberi
- Encephalopathy (acute) › vitamin B deficiency NEC › vitamin B1
- Encephalopathy (acute) › Wernicke's
- Hemorrhage, hemorrhagic (concealed) › polioencephalitis, superior
- Polioencephalitis (acute) (bulbar) › superior hemorrhagic (acute) (Wernicke's)
- Polioencephalitis (acute) (bulbar) › Wernicke's
- Polioencephalomyelitis (acute) (anterior) › with beriberi
- Polioencephalopathy, superior hemorrhagic
- Wernicke's › disease or syndrome
- Wernicke's › encephalopathy
- Wernicke's › polioencephalitis, superior
Codes whose notes reference E51.2
- G32.8Excludes1
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 10 · Endocrine, Nutritional and Metabolic Diseases and Disorders
ICD-9-CM equivalent
Converter →- 265.1Other and unspecified manifestations of thiamine deficiencyapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about E51.2
Is E51.2 billable?
- Yes. E51.2 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can E51.2 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict E51.2 as a principal diagnosis.
Is E51.2 a CC or MCC?
- E51.2 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.
What DRG does E51.2 group to?
- E51.2 is used in the MS-DRG v44.0 logic for MS-DRG 640 (Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC) and MS-DRG 641 (Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.
What is the ICD-9 code for E51.2?
- The CMS General Equivalence Mappings map E51.2 to ICD-9-CM 265.1.