ICD-10 Coding for Poor Appetite(R63.0)
Complete ICD-10-CM coding and documentation guide for Poor Appetite. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Poor Appetite
R63.0Primary Range
Symptoms and signs involving food and fluid intake
Primary code for idiopathic poor appetite not due to psychological causes.
Key Information: ICD-10 code for poor appetite
Essential facts and insights about Poor Appetite
Primary ICD-10-CM Code for poor appetite
Decision Criteria
clinical Criteria
- Absence of psychological factors
documentation Criteria
- Documented weight loss and reduced intake
Applicable To
- Loss of appetite
- Decreased appetite
Excludes
- Anorexia nervosa (F50.01)
Clinical Validation Requirements
- Documented weight loss ≥5% over 1 month
- Albumin <3.5 g/dL
- Reduced caloric intake
Code-Specific Risks
- Misuse for anorexia nervosa
- Lack of supporting documentation
Coding Notes
- Ensure documentation specifies the absence of psychological causes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Unspecified protein-calorie malnutrition
E46Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Anorexia nervosa
F50.01Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Poor 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 treatment planning, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Use specific phrases like '75% reduction in appetite', Document associated weight loss
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use F50.01 for anorexia nervosa with psychological factors.
Impact
Lack of specific data can lead to audits.
Mitigation Strategy
Ensure detailed documentation of intake and weight loss.
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 Poor Appetite, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Poor Appetite
Use these documentation templates to ensure complete and accurate documentation for Poor Appetite. These templates include all required elements for proper coding and billing.
Oncology patient with poor appetite
Specialty: OncologyRequired Elements
- Subjective report of appetite
- Objective weight and lab data
- Assessment linking poor appetite to treatment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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