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ICD-10 Guide
ICD-10 CodesF50.812

F50.812

Billable

Binge eating disorder, severe

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

Code Description

ICD-10 F50.812 is a billable code used to indicate a diagnosis of binge eating disorder, severe.

Key Diagnostic Point:

Binge eating disorder (BED) is characterized by recurrent episodes of eating large quantities of food, often to the point of discomfort, accompanied by feelings of loss of control during the binge. Individuals with severe BED experience these episodes at least once a week for three months or more, and they may also exhibit marked distress regarding binge eating. Unlike bulimia nervosa, BED does not involve regular compensatory behaviors such as purging. The disorder can lead to significant physical health issues, including obesity, diabetes, and cardiovascular disease, as well as psychological problems such as anxiety and depression. The severity of the disorder is determined by the frequency of binge eating episodes and the associated psychological distress. Treatment often involves psychotherapy, nutritional counseling, and sometimes medication to help manage symptoms and promote healthier eating behaviors.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between binge eating disorder and other eating disorders.
  • Understanding the severity classification based on frequency and distress.
  • Documenting associated psychological conditions.
  • Navigating insurance coverage for treatment options.

Audit Risk Factors

  • Inadequate documentation of binge eating frequency.
  • Failure to document associated psychological distress.
  • Misclassification of severity level.
  • Lack of evidence for comorbid conditions.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Comprehensive mental health assessments, including history of eating behaviors and psychological evaluations.

Common Clinical Scenarios

Patients presenting with anxiety, depression, and eating-related issues.

Billing Considerations

Documenting the impact of binge eating on mental health and any comorbid psychiatric disorders.

Nutrition

Documentation Requirements

Detailed dietary assessments and treatment plans focusing on nutritional education.

Common Clinical Scenarios

Patients seeking help for weight management and disordered eating patterns.

Billing Considerations

Incorporating behavioral strategies to address binge eating triggers.

Coding Guidelines

Inclusion Criteria

Use F50.812 When
  • According to the ICD
  • CM guidelines, F50
  • 812 should be used when the binge eating episodes are severe, occurring at least once a week for three months, and causing significant distress
  • Documentation must support the diagnosis and severity

Exclusion Criteria

Do NOT use F50.812 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97802CPT Code

Medical nutrition therapy, individual, initial assessment and intervention

Clinical Scenario

Used for patients diagnosed with binge eating disorder requiring nutritional counseling.

Documentation Requirements

Document the initial assessment, treatment goals, and follow-up plans.

Specialty Considerations

Nutrition specialists should focus on behavioral strategies to manage binge eating.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of binge eating disorder, improving the ability to track and treat this condition effectively. The detailed classification helps in understanding the severity and associated comorbidities.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of binge eating disorder, improving the ability to track and treat this condition effectively. The detailed classification helps in understanding the severity and associated comorbidities.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of binge eating disorder, improving the ability to track and treat this condition effectively. The detailed classification helps in understanding the severity and associated comorbidities.

Resources

Clinical References

  • •
    National Eating Disorders Association

Coding & Billing References

  • •
    National Eating Disorders Association

Frequently Asked Questions

What distinguishes F50.812 from other eating disorder codes?

F50.812 specifically refers to severe binge eating disorder, characterized by the frequency of binge episodes and associated distress, differentiating it from other eating disorders that may involve different behaviors or severity levels.