A new editorial in The Journal of Nutrition, Health & Aging supports the European Society for Clinical Nutrition and Metabolism (ESPEN) initiative for a clinically relevant ICD-11 diagnosis code for malnutrition in adults in the International Classifications of Diseases (ICD). The suggestion has been submitted from Sweden, formally by the National Board of Social Services together with Elisabet Rothenberg and Tommy Cederholm, and is supported by 40 different PEN societies around the world. The next step in this process is a meeting between representatives from World Health Organization (WHO) and, on the nutrition side, Tommy Cederholm and Gordon L. Jensen representing the American Society of Parenteral and Enteral Nutrition (ASPEN).