ICD-10 Coding for Feeding Problem(R63.31, R63.32, P92.5)
Complete ICD-10-CM coding and documentation guide for Feeding Problem. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Feeding Problem
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R63.31 | Acute pediatric feeding disorder | Use when feeding problems are acute, lasting less than 3 months. |
|
| R63.32 | Chronic pediatric feeding disorder | Use when feeding problems are chronic, lasting 3 months or more. |
|
| P92.5 | Neonatal breast feeding difficulty | Use for feeding difficulties in newborns under 28 days. |
|
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 acute pediatric feeding disorder
Essential facts and insights about Feeding Problem
Primary ICD-10-CM Codes for feeding problem
Decision Criteria
clinical Criteria
- Duration of feeding problem is less than 3 months.
Applicable To
- Feeding refusal less than 3 months
Clinical Validation Requirements
- Weight loss >5% in 2 weeks
- Requires NG feeds <50% nutrition
- Active food refusal with gagging/vomiting
Code-Specific Risks
- Incorrectly using for chronic conditions
Coding Notes
- Ensure documentation specifies duration and associated conditions.
R63.32 - Chronic pediatric feeding disorder
Use when feeding problems are chronic, lasting 3 months or more.
Applicable To
- Persistent feeding challenges since [DATE]
Excludes
- Eating disorders (F50.-)
- Newborn feeding problems (P92.-)
Clinical Validation Requirements
- Reliance on feeding therapy >6 sessions
- Requires fortified foods/supplements
- Documented oral motor delay on standardized assessment
Coding Notes
Ensure documentation specifies duration and associated conditions.
P92.5 - Neonatal breast feeding difficulty
Use for feeding difficulties in newborns under 28 days.
Applicable To
- Difficulty latching in newborns
Excludes
- Feeding problems in older infants (R63.3-)
Clinical Validation Requirements
- Pre/post feed weights
- IBCLC lactation consult note
Coding Notes
Ensure age is documented to differentiate from pediatric codes.
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 Feeding Problem to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R63.31.
Impact
Clinical: Incomplete clinical picture, Regulatory: Non-compliance with coding standards, Financial: Potential for claim denials
Mitigation Strategy
Always review patient history for related conditions, Use standardized assessment tools
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Use R63.31 or R63.32 based on the documented duration.
Impact
Failure to document duration can lead to incorrect code selection.
Mitigation Strategy
Implement mandatory fields in EHR for duration entry.
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 Feeding Problem, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Feeding Problem
Use these documentation templates to ensure complete and accurate documentation for Feeding Problem. These templates include all required elements for proper coding and billing.
Chronic PFD with Autism
Specialty: PediatricsRequired Elements
- Duration of feeding problem
- Associated conditions
- Interventions
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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