ICD-10 Coding for Anorexia(F50.01, F50.02)
Complete ICD-10-CM coding and documentation guide for Anorexia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Anorexia
F50.0-F50.9Primary Range
Eating disorders
This range includes all eating disorders, with specific codes for anorexia nervosa and its subtypes.
Body mass index (BMI)
BMI codes are required as ancillary codes when documenting anorexia nervosa.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F50.01 | Anorexia nervosa, restricting type | Use when the patient exhibits restrictive eating behaviors without binge-eating or purging. |
|
| F50.02 | Anorexia nervosa, binge-eating/purging type | Use when the patient exhibits binge-eating or purging behaviors despite being underweight. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for anorexia
Essential facts and insights about Anorexia
Primary ICD-10-CM Codes for anorexia
Decision Criteria
clinical Criteria
- Presence of restrictive eating behaviors and fear of weight gain
Applicable To
- Restricting type anorexia nervosa
Excludes
- Bulimia nervosa (F50.2)
Clinical Validation Requirements
- BMI ≤17.5
- Intense fear of gaining weight
- Restrictive eating behaviors
Code-Specific Risks
- Misclassification if binge/purge behaviors are present
Coding Notes
- Ensure documentation specifies the subtype and severity of anorexia nervosa.
F50.02 - Anorexia nervosa, binge-eating/purging type
Use when the patient exhibits binge-eating or purging behaviors despite being underweight.
Applicable To
- Binge-eating/purging type anorexia nervosa
Excludes
- Bulimia nervosa (F50.2)
Clinical Validation Requirements
- BMI ≤17.5
- Binge-eating or purging behaviors
- Intense fear of gaining weight
Coding Notes
Ensure documentation specifies the subtype and severity of anorexia nervosa.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Body mass index (BMI)
Z68.-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Anorexia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F50.01.
Impact
Clinical: Inaccurate assessment of nutritional status., Regulatory: Non-compliance with coding guidelines., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Always document BMI when diagnosing anorexia nervosa.
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement rates., Compliance: Misclassification can result in compliance issues., Data Quality: Affects the accuracy of health data records.
Mitigation Strategy
Always use F50.01 or F50.02 if psychological criteria are met.
Impact
Failure to document severity can lead to audit findings.
Mitigation Strategy
Implement templates that prompt for severity documentation.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Anorexia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Anorexia
Use these documentation templates to ensure complete and accurate documentation for Anorexia. These templates include all required elements for proper coding and billing.
Initial diagnosis of anorexia nervosa
Specialty: PsychiatryRequired Elements
- BMI measurement
- Eating behavior description
- Psychological assessment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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