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ICD-10 Guide
ICD-10 CodesF50.013

F50.013

Billable

Anorexia nervosa, restricting type, extreme

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F50.013 is a billable code used to indicate a diagnosis of anorexia nervosa, restricting type, extreme.

Key Diagnostic Point:

Anorexia nervosa, restricting type, extreme, is a severe eating disorder characterized by an intense fear of gaining weight and a distorted body image, leading to significant weight loss and nutritional deficiencies. Individuals with this diagnosis exhibit restrictive eating behaviors, often consuming very few calories and avoiding certain food groups. The 'extreme' designation indicates that the individual has a body mass index (BMI) of less than 15 kg/m², which poses serious health risks, including cardiac complications, electrolyte imbalances, and potential organ failure. This condition often coexists with other psychiatric disorders such as anxiety and depression, complicating treatment and management. Diagnosis requires a thorough clinical evaluation, including a detailed history of eating patterns, psychological assessment, and physical examination to assess weight and health status. Treatment typically involves a multidisciplinary approach, including nutritional rehabilitation, psychotherapy, and medical monitoring to address both the psychological and physical aspects of the disorder.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires precise documentation of weight and BMI.
  • Differentiation from other types of anorexia nervosa.
  • Need for comprehensive psychiatric evaluation.
  • Potential for co-morbid conditions complicating diagnosis.

Audit Risk Factors

  • Inadequate documentation of BMI and weight history.
  • Failure to document co-morbid psychiatric conditions.
  • Lack of comprehensive treatment plans.
  • Insufficient follow-up documentation.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed psychiatric evaluation and treatment history.

Common Clinical Scenarios

Initial assessment of eating disorders, ongoing therapy sessions.

Billing Considerations

Need for regular updates on mental health status and treatment response.

Nutrition

Documentation Requirements

Nutritional assessments and dietary plans.

Common Clinical Scenarios

Nutritional counseling sessions, monitoring of weight restoration.

Billing Considerations

Collaboration with mental health providers for integrated care.

Coding Guidelines

Inclusion Criteria

Use F50.013 When
  • Follow ICD
  • CM guidelines for coding eating disorders, ensuring accurate documentation of severity and associated conditions
  • Include BMI measurements and treatment plans in the medical record

Exclusion Criteria

Do NOT use F50.013 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97802CPT Code

Medical nutrition therapy, individual, face-to-face

Clinical Scenario

Used for nutritional counseling in patients with anorexia nervosa.

Documentation Requirements

Document the patient's nutritional status and treatment goals.

Specialty Considerations

Nutrition specialists should coordinate with mental health providers.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of anorexia nervosa, enabling better tracking of severity and treatment outcomes. This specificity helps in research and improves the understanding of the disorder's impact on health.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of anorexia nervosa, enabling better tracking of severity and treatment outcomes. This specificity helps in research and improves the understanding of the disorder's impact on health.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of anorexia nervosa, enabling better tracking of severity and treatment outcomes. This specificity helps in research and improves the understanding of the disorder's impact on health.

Resources

Clinical References

  • •
    National Eating Disorders Association

Coding & Billing References

  • •
    National Eating Disorders Association

Frequently Asked Questions

What is the significance of the 'extreme' designation in F50.013?

The 'extreme' designation indicates a BMI of less than 15 kg/m², which signifies a severe level of malnutrition and increased health risks, requiring urgent medical attention.