Polyphagia
ICD-10 R63.2 is a billable code used to indicate a diagnosis of polyphagia.
Polyphagia, or excessive hunger, is a symptom characterized by an abnormal increase in appetite. It is often associated with various underlying medical conditions, including diabetes mellitus, hyperthyroidism, and certain psychiatric disorders. Patients may report an insatiable desire to eat, leading to increased caloric intake and potential weight gain. In diabetes, polyphagia occurs due to the body's inability to utilize glucose effectively, prompting the brain to signal hunger despite adequate or excessive food intake. In hyperthyroidism, increased metabolism can also lead to heightened appetite. Clinicians should evaluate polyphagia in the context of other symptoms, such as weight changes, fatigue, and thirst, to determine the underlying cause. Laboratory findings may include elevated blood glucose levels in diabetes or abnormal thyroid function tests in cases of hyperthyroidism. Accurate diagnosis and management are crucial to address the root cause of polyphagia and prevent complications.
Detailed patient history, including onset, duration, and associated symptoms of polyphagia.
Patients presenting with unexplained weight gain, fatigue, or thirst, requiring evaluation for diabetes or thyroid disorders.
Consideration of metabolic syndrome and other comorbidities that may influence appetite.
Acute assessment of polyphagia in the context of other presenting symptoms, such as altered mental status or severe dehydration.
Patients with acute diabetic crises or thyroid storm presenting with polyphagia.
Rapid evaluation and documentation of vital signs and lab results to determine immediate management.
Used for follow-up visits where polyphagia is assessed.
Document the patient's history, physical exam findings, and any lab results.
Internal medicine may require more detailed documentation compared to other specialties.
No, polyphagia should be coded in conjunction with the underlying condition causing the symptom to ensure accurate representation of the patient's clinical picture.
