ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesR62.5

R62.5

Other and unspecified lack of expected normal physiological development in childhood

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

Code Description

ICD-10 R62.5 is a billable code used to indicate a diagnosis of other and unspecified lack of expected normal physiological development in childhood.

Key Diagnostic Point:

R62.5 is used to classify cases where a child exhibits a lack of expected normal physiological development that does not fit neatly into other established categories. This may manifest as delayed growth, failure to thrive, or other developmental milestones not being met. Symptoms can include poor weight gain, lack of physical activity, and developmental delays in motor skills, speech, or social interactions. Clinical findings may reveal abnormal growth patterns, nutritional deficiencies, or psychosocial factors impacting development. Laboratory findings may include abnormal metabolic panels or hormone levels that suggest underlying conditions. The diagnosis requires a comprehensive evaluation to rule out other specific disorders and to identify any contributing factors such as nutritional deficits, chronic illness, or environmental influences.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes
  • Overlap with other developmental disorders
  • Need for comprehensive clinical evaluation
  • Potential for misdiagnosis

Audit Risk Factors

  • Inadequate documentation of developmental assessments
  • Failure to specify contributing factors
  • Misuse of the code for more specific developmental disorders
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed growth charts, developmental assessments, and history of nutritional intake.

Common Clinical Scenarios

Evaluation of a child presenting with poor growth and developmental delays in a primary care setting.

Billing Considerations

Consider psychosocial factors and family history that may contribute to developmental issues.

Emergency Medicine

Documentation Requirements

Acute assessment of growth parameters and immediate interventions if necessary.

Common Clinical Scenarios

A child presenting with acute failure to thrive or severe developmental regression.

Billing Considerations

Rapid assessment and stabilization may be required; ensure follow-up care is documented.

Coding Guidelines

Inclusion Criteria

Use R62.5 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation and that all relevant factors contributing to the lack of development are noted

Exclusion Criteria

Do NOT use R62.5 When
No specific exclusions found.

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits to monitor growth and development.

Documentation Requirements

Document growth parameters, developmental assessments, and any interventions.

Specialty Considerations

Ensure that the visit is clearly linked to the developmental concerns.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of developmental issues, but it has also increased the complexity of coding due to the need for detailed documentation and differentiation from other conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of developmental issues, but it has also increased the complexity of coding due to the need for detailed documentation and differentiation from other conditions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of developmental issues, but it has also increased the complexity of coding due to the need for detailed documentation and differentiation from other conditions.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What should be documented to support the use of R62.5?

Documentation should include detailed growth charts, developmental assessments, any relevant lab findings, and a comprehensive history that outlines the child's nutritional intake and psychosocial environment.