Anorexia nervosa, binge eating/purging type, extreme
ICD-10 F50.023 is a billable code used to indicate a diagnosis of anorexia nervosa, binge eating/purging type, extreme.
Anorexia nervosa, binge eating/purging type, extreme is a severe eating disorder characterized by an intense fear of gaining weight, a distorted body image, and significant weight loss. Individuals with this condition engage in binge eating and purging behaviors, such as self-induced vomiting or misuse of laxatives, diuretics, or enemas, to control their weight. The 'extreme' designation indicates that the individual has a body mass index (BMI) of less than 15 kg/m², reflecting a critical level of malnutrition and associated health risks. This disorder can lead to severe physical complications, including electrolyte imbalances, cardiac issues, and multi-organ failure, as well as psychological effects such as anxiety, depression, and social withdrawal. Treatment typically involves a multidisciplinary approach, including medical, nutritional, and psychological interventions, to address both the physical and mental health aspects of the disorder.
Detailed psychiatric evaluations and treatment plans, including mental status exams.
Patients presenting with severe anxiety, depression, and social withdrawal related to body image.
Psychiatric history and co-morbid mental health conditions must be documented.
Nutritional assessments, dietary plans, and monitoring of weight changes.
Patients requiring nutritional rehabilitation and education on healthy eating.
Close collaboration with mental health providers to ensure comprehensive care.
Used for patients receiving nutritional counseling as part of their treatment plan.
Document the patient's nutritional status and goals.
Nutrition specialists should collaborate with mental health providers.
The 'extreme' designation indicates that the individual has a BMI of less than 15 kg/m², which signifies a critical level of malnutrition and increased health risks.
