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v1.0.0
ICD-10 Guide
ICD-10 CodesR62.0

R62.0

Delayed milestone in childhood

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R62.0 is a billable code used to indicate a diagnosis of delayed milestone in childhood.

Key Diagnostic Point:

Delayed milestone in childhood refers to a significant lag in the achievement of developmental milestones in children, which can include physical, cognitive, social, and emotional skills. Milestones are typically categorized by age ranges, and delays can manifest in various ways, such as delayed speech, difficulty in motor skills, or challenges in social interactions. Common signs include a child not walking by 15 months, not speaking simple words by 18 months, or not engaging in pretend play by age 2. These delays can be indicative of underlying conditions such as developmental disorders, autism spectrum disorders, or environmental factors affecting development. Early identification and intervention are crucial for improving outcomes, and a multidisciplinary approach involving pediatricians, speech therapists, and occupational therapists is often necessary for comprehensive care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in developmental milestones across different children
  • Need for comprehensive documentation of developmental assessments
  • Potential overlap with other developmental disorders
  • Requirement for multidisciplinary evaluation and intervention

Audit Risk Factors

  • Inadequate documentation of developmental assessments
  • Failure to specify the type of milestone delayed
  • Misclassification of developmental delays as other disorders
  • Lack of follow-up documentation for ongoing assessments

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Documentation should include detailed developmental history, specific milestones assessed, and any interventions initiated.

Common Clinical Scenarios

A child presenting with delayed speech and language skills during a routine check-up.

Billing Considerations

Consider the impact of chronic illnesses or medications that may affect development.

Emergency Medicine

Documentation Requirements

Acute care documentation should capture immediate concerns regarding developmental delays and any acute interventions.

Common Clinical Scenarios

A child brought to the emergency department for evaluation after a parent expresses concern about delayed motor skills.

Billing Considerations

Emergency settings may require rapid assessment and referral to specialists for further evaluation.

Coding Guidelines

Inclusion Criteria

Use R62.0 When
  • According to ICD
  • 10 coding guidelines, R62
  • 0 should be used when there is clear documentation of delayed milestones without a more specific diagnosis
  • It is essential to ensure that the delay is not attributed to other known conditions

Exclusion Criteria

Do NOT use R62.0 When
No specific exclusions found.

Related CPT Codes

96110CPT Code

Developmental screening, using standardized instruments

Clinical Scenario

Used during well-child visits to assess developmental milestones.

Documentation Requirements

Document the specific screening tool used and results.

Specialty Considerations

Pediatricians should ensure thorough documentation of developmental assessments.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of developmental delays, improving the ability to track and manage these conditions effectively. R62.0 provides a clear designation for delayed milestones, facilitating better care coordination.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of developmental delays, improving the ability to track and manage these conditions effectively. R62.0 provides a clear designation for delayed milestones, facilitating better care coordination.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    CDC Developmental Milestones

Coding & Billing References

  • •
    CDC Developmental Milestones

Frequently Asked Questions

What should be documented to support the use of R62.0?

Documentation should include specific milestones that are delayed, the age at which they were expected to be achieved, and any assessments or interventions that have been initiated.