Failure to thrive (child)
ICD-10 R62.51 is a billable code used to indicate a diagnosis of failure to thrive (child).
Failure to thrive (FTT) in children is a clinical syndrome characterized by inadequate growth or the inability to maintain growth, typically defined as a weight below the 5th percentile for age or a significant drop in growth percentiles over time. Symptoms may include poor weight gain, decreased appetite, lethargy, and developmental delays. Signs can manifest as a lack of subcutaneous fat, decreased muscle mass, and signs of malnutrition. Abnormal clinical findings may include laboratory results indicating anemia, electrolyte imbalances, or deficiencies in vitamins and minerals. FTT can arise from a variety of causes, including inadequate caloric intake, malabsorption syndromes, chronic illnesses, or psychosocial factors. A thorough assessment is essential to identify underlying causes and guide appropriate interventions.
Document growth parameters, dietary intake, and psychosocial factors.
Evaluation of a child presenting with poor weight gain and developmental delays.
Consider referral to a pediatric nutritionist for dietary assessment.
Acute assessment of hydration status and immediate nutritional needs.
Child presenting with severe dehydration due to inadequate intake.
Document any acute interventions and follow-up plans.
Used for follow-up visits to monitor growth and development.
Document growth measurements, dietary assessments, and any interventions.
Pediatricians should ensure growth charts are updated.
Common causes include inadequate caloric intake, malabsorption syndromes, chronic illnesses, and psychosocial factors. A thorough evaluation is necessary to determine the underlying cause.
