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ICD-10 Guide
ICD-10 CodesR62

R62

Lack of expected normal physiological development in childhood and adults

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 R62 is a used to indicate a diagnosis of lack of expected normal physiological development in childhood and adults.

Key Diagnostic Point:

The ICD-10 Level 1 Category code R62 pertains to the lack of expected normal physiological development in childhood and adults. This category encompasses a range of conditions that indicate a delay or absence of typical growth and developmental milestones. It includes issues such as developmental delays, failure to thrive, and other growth-related disorders that may affect physical, cognitive, or emotional development. Clinicians may encounter patients who exhibit signs of inadequate growth or developmental progress, prompting the use of this code to describe their clinical status accurately.

  • The clinical significance of R62 lies in its ability to capture a variety of developmental concerns that can impact a patient's overall health and well-being. Proper coding is essential for ensuring that patients receive appropriate interventions and support. Usage guidelines recommend that R62 be employed when there is clear evidence of developmental delay or lack of expected growth, and it should be supported by thorough clinical documentation that outlines the patient's history and current status. This code may also be used in conjunction with other codes to provide a more comprehensive view of the patient's health condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in developmental milestones
  • Need for comprehensive documentation
  • Potential overlap with other developmental codes

Audit Risk Factors

  • Inadequate documentation of developmental assessments
  • Misuse of the code for non-developmental issues
  • Failure to provide supporting evidence for delays

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Family Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related Codes

Child Codes

7 codes
R62.0
Delayed milestone in childhood
R62.5
Other and unspecified lack of expected normal physiological development in childhood
R62.50
Unspecified lack of expected normal physiological development in childhood
R62.51
Failure to thrive (child)
R62.52
Short stature (child)
R62.59
Other lack of expected normal physiological development in childhood
R62.7
Adult failure to thrive

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical and administrative impact of the R62 code category is significant, particularly in the context of quality measures and population health. Accurate coding of developmental delays and growth issues can inform healthcare providers about the prevalence of these conditions within their patient populations, leading to targeted interventions and resource allocation. Additionally, the data collected through the use of R62 can contribute to broader public health initiatives aimed at improving childhood development outcomes and addressing disparities in access to care.
From an administrative perspective, proper utilization of R62 can enhance the accuracy of healthcare reporting and analytics, which are crucial for evaluating the effectiveness of treatment programs and interventions. As healthcare trends increasingly focus on preventative care and early intervention, the R62 category plays a vital role in identifying at-risk populations and ensuring that they receive timely and appropriate services to support their developmental needs.

ICD-9 vs ICD-10

The clinical and administrative impact of the R62 code category is significant, particularly in the context of quality measures and population health. Accurate coding of developmental delays and growth issues can inform healthcare providers about the prevalence of these conditions within their patient populations, leading to targeted interventions and resource allocation. Additionally, the data collected through the use of R62 can contribute to broader public health initiatives aimed at improving childhood development outcomes and addressing disparities in access to care. From an administrative perspective, proper utilization of R62 can enhance the accuracy of healthcare reporting and analytics, which are crucial for evaluating the effectiveness of treatment programs and interventions. As healthcare trends increasingly focus on preventative care and early intervention, the R62 category plays a vital role in identifying at-risk populations and ensuring that they receive timely and appropriate services to support their developmental needs.

Reimbursement & Billing Impact

reimbursement. Providers should ensure that all relevant clinical information is included in the patient's medical record, as this will support the use of R62 in billing claims. It is important to use R62 in conjunction with other relevant codes to provide a complete picture of the patient's condition, which can enhance the likelihood of reimbursement. Additionally, understanding payer-specific guidelines for developmental codes can help streamline the billing process and reduce claim denials.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for R62

Coding & Billing References

  • •
    Official ICD-10 Guidelines for R62

Frequently Asked Questions

What conditions are included in R62?

Conditions covered under R62 include developmental delays, failure to thrive, and other growth-related disorders that indicate a lack of expected normal physiological development.

When should I use R62 codes?

R62 codes should be used when there is documented evidence of developmental delays or inadequate growth, supported by clinical assessments and patient history.

What documentation is required for R62?

Documentation for R62 should include detailed clinical assessments, growth charts, developmental evaluations, and any relevant patient history that supports the diagnosis of lack of expected normal physiological development.