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Home/Diagnosis/ICD-10 Coding for Weight Loss

ICD-10 Coding for Weight Loss

R63.4
Z71.3

Complete ICD-10-CM coding and documentation guide for icd-10 coding for weight loss includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Unintentional Weight Loss
Abnormal Weight Loss
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Key Information: ICD-10 Coding for Weight Loss

Essential facts and insights about ICD-10 Coding for Weight Loss

Use ICD-10 code R63.4 for abnormal weight loss, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Abnormal weight loss

Billable Code
R63.4
Billable

Diagnostic Criteria

clinical:
  • Unintentional weight loss of 5% or more over a specified period
documentation:
  • Exclusion of intentional weight loss causes

Applicable To

  • • Unintentional weight loss

Important Notes

  • • Ensure documentation specifies unintentional weight loss and excludes other causes.

Dietary counseling and surveillance

Billable Code
Z71.3
Billable

Diagnostic Criteria

clinical:
  • Documented dietary counseling session with specific goals

Applicable To

  • • Nutritional counseling

Important Notes

  • • Ensure counseling is documented with specific dietary goals.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z71.3

Dietary counseling and surveillance

Use when dietary counseling is provided to address weight loss.

Frequently Asked Questions

What is the ICD-10 code for unintentional weight loss?

The ICD-10 code for unintentional weight loss is R63.4, used when a patient experiences significant weight loss without a known cause.

How is dietary counseling documented for weight loss?

Dietary counseling for weight loss should be documented with session details, including duration, specific dietary goals, and follow-up plans.

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