Abnormal weight gain
ICD-10 R63.5 is a billable code used to indicate a diagnosis of abnormal weight gain.
Abnormal weight gain is characterized by an increase in body weight that is not attributed to normal physiological changes such as growth or pregnancy. It can be indicative of various underlying health issues, including metabolic disorders, hormonal imbalances, or lifestyle factors such as diet and physical activity levels. Clinically, abnormal weight gain may present with symptoms such as fatigue, shortness of breath, and joint pain, which can significantly impact a patient's quality of life. Laboratory findings may reveal abnormalities in glucose metabolism, lipid profiles, or thyroid function tests. The condition can be associated with obesity, which is a risk factor for numerous comorbidities, including cardiovascular disease, diabetes, and certain cancers. Accurate diagnosis requires a thorough clinical evaluation, including a detailed patient history, physical examination, and appropriate laboratory tests to identify potential causes and guide treatment strategies.
Detailed patient history, including dietary habits, physical activity, and any medications that may contribute to weight gain.
Patients presenting with unexplained weight gain, metabolic syndrome, or obesity-related complications.
Consideration of comorbid conditions such as diabetes or hypertension that may influence treatment and management.
Acute assessment of weight gain in the context of presenting symptoms, such as dyspnea or edema.
Patients with sudden weight gain presenting with acute heart failure or other urgent conditions.
Rapid evaluation of potential acute causes of weight gain, including fluid retention or medication effects.
Used for follow-up visits related to abnormal weight gain management.
Document the patient's weight, BMI, and any changes in treatment plan.
Internal medicine may require more detailed documentation of comorbidities.
Documentation should include the patient's weight history, any associated symptoms, potential causes of weight gain, and results from relevant laboratory tests.
