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v1.0.0
ICD-10 Guide
ICD-10 CodesR63.32

R63.32

Pediatric feeding disorder, chronic

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

Code Description

ICD-10 R63.32 is a billable code used to indicate a diagnosis of pediatric feeding disorder, chronic.

Key Diagnostic Point:

Pediatric feeding disorder, chronic, is characterized by a persistent inability to consume adequate nutrition or hydration, leading to significant weight loss, nutritional deficiency, or both. This disorder can manifest as refusal to eat, avoidance of certain food textures or types, or excessive food selectivity. Symptoms may include failure to thrive, delayed growth, and behavioral issues related to feeding. Children may exhibit signs of distress during mealtime, including tantrums or refusal to eat altogether. Abnormal clinical findings may include low body mass index (BMI), electrolyte imbalances, and deficiencies in vitamins and minerals. The chronic nature of this disorder often requires multidisciplinary intervention, including dietary management, behavioral therapy, and sometimes medical treatment to address underlying conditions contributing to the feeding difficulties.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of symptoms and presentations
  • Need for comprehensive documentation
  • Potential overlap with other feeding disorders
  • Multidisciplinary approach required for treatment

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to specify chronicity
  • Misclassification with acute feeding disorders
  • Lack of evidence for multidisciplinary treatment

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed history of feeding issues, growth charts, and nutritional assessments.

Common Clinical Scenarios

Management of chronic feeding issues in pediatric patients with comorbidities.

Billing Considerations

Consideration of underlying medical conditions that may contribute to feeding disorders.

Emergency Medicine

Documentation Requirements

Acute assessment of feeding difficulties, including vital signs and hydration status.

Common Clinical Scenarios

Presentation of a child with severe dehydration due to feeding refusal.

Billing Considerations

Rapid evaluation of nutritional status and potential need for IV fluids.

Coding Guidelines

Inclusion Criteria

Use R63.32 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the chronic nature of the disorder is documented and that all relevant symptoms and treatment plans are included in the medical record

Exclusion Criteria

Do NOT use R63.32 When
No specific exclusions found.

Related CPT Codes

97802CPT Code

Medical nutrition therapy, individual

Clinical Scenario

Used for dietary management of chronic feeding disorders.

Documentation Requirements

Document the patient's nutritional assessment and treatment plan.

Specialty Considerations

Nutritionists may need to collaborate with pediatricians for comprehensive care.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of pediatric feeding disorders, improving the ability to capture the complexity and chronicity of these conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of pediatric feeding disorders, improving the ability to capture the complexity and chronicity of these conditions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of pediatric feeding disorders, improving the ability to capture the complexity and chronicity of these conditions.

Resources

Clinical References

  • •
    Pediatric Feeding Disorders: A Clinical Guide

Coding & Billing References

  • •
    Pediatric Feeding Disorders: A Clinical Guide

Frequently Asked Questions

What are the primary symptoms of pediatric feeding disorder, chronic?

Primary symptoms include refusal to eat, avoidance of certain food types, significant weight loss, and behavioral issues during mealtime.