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Home/Diagnosis/ICD-10 Coding for Failure to Thrive in Adults

ICD-10 Coding for Failure to Thrive in Adults

R62.7
E46

Complete ICD-10-CM coding and documentation guide for icd-10 coding for failure to thrive in adults includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Adult Failure to Thrive
AFTT
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Key Information: ICD-10 Coding for Failure to Thrive in Adults

Essential facts and insights about ICD-10 Coding for Failure to Thrive in Adults

Use ICD-10 code R62.7 for adult failure to thrive, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Adult failure to thrive

Billable Code
R62.7
Billable

Diagnostic Criteria

clinical:
  • • Presence of unintentional weight loss and functional decline without a specific cause
coding:
  • • Avoid using as principal diagnosis if a more definitive diagnosis is available

Applicable To

  • • Multifactorial decline without dominant etiology

Important Notes

  • • R62.7 should not be used as a principal diagnosis if a more specific treatable condition is identified.

Unspecified protein-energy malnutrition

Billable Code
E46
Billable

Diagnostic Criteria

clinical:
  • • Albumin < 3.0 g/dL
  • • BMI < 16.5

Applicable To

  • • Protein-calorie malnutrition

Important Notes

  • • Ensure documentation of lab results supporting malnutrition.
Ancillary Codes

Additional codes that may be used with this diagnosis

E46

Protein-energy malnutrition

Use when weight loss is accompanied by low albumin levels.

F50.9

Eating disorder, unspecified

Use when psychosocial factors contribute to failure to thrive.

Frequently Asked Questions

When is R62.7 billable as principal diagnosis?

R62.7 is billable as a principal diagnosis only when all underlying etiologies are ruled out, indicating multifactorial decline without a dominant cause.

How to document for E46 vs R62.7?

Use E46 if labs confirm malnutrition; R62.7 if decline is multifactorial without a dominant nutritional deficit.

Coding AFTT with pressure ulcers?

Sequence L89.XXX (ulcer) first if active treatment is provided, followed by R62.7 if applicable.

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