ICD-10 Coding for Decreased Appetite(R63.0)
Complete ICD-10-CM coding and documentation guide for Decreased Appetite. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Decreased Appetite
R63.0-R63.4Primary Range
Symptoms and signs involving food and fluid intake
This range includes codes for symptoms related to appetite and weight changes, with R63.0 specifically for decreased appetite.
Eating disorders
These codes are used for psychological eating disorders, which exclude the use of R63.0.
Key Information: ICD-10 code for decreased appetite
Essential facts and insights about Decreased Appetite
Primary ICD-10-CM Code for decreased appetite
Decision Criteria
clinical Criteria
- Documented persistent lack of interest in eating
coding Criteria
- Absence of psychological factors
documentation Criteria
- Weight loss percentage and duration
Applicable To
- Loss of appetite
Excludes
- Anorexia nervosa (F50.0-)
Clinical Validation Requirements
- Persistent lack of interest in eating for ≥2 weeks
- Unintentional weight loss of ≥5% over 1 month
- Muscle wasting or subcutaneous fat loss
Code-Specific Risks
- Confusion with anorexia nervosa
- Inadequate documentation of weight loss
Coding Notes
- Ensure documentation specifies the absence of psychological causes when using R63.0.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Decreased Appetite to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R63.0.
Impact
Clinical: Inadequate clinical assessment, Regulatory: Potential non-compliance with coding standards, Financial: Risk of claim denials
Mitigation Strategy
Use specific metrics and timeframes, Ensure comprehensive documentation of symptoms
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use F50.0- codes for psychological causes.
Impact
Using R63.0 for cases of anorexia nervosa.
Mitigation Strategy
Verify the absence of psychological factors before coding.
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 Decreased Appetite, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Decreased Appetite
Use these documentation templates to ensure complete and accurate documentation for Decreased Appetite. These templates include all required elements for proper coding and billing.
Chemotherapy-induced anorexia
Specialty: OncologyRequired Elements
- Appetite loss duration
- Weight loss percentage
- BMI documentation
- Lab values
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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