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v1.0.0
ICD-10 Guide
ICD-10 CodesF50.813

F50.813

Billable

Binge eating disorder, extreme

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

Code Description

ICD-10 F50.813 is a billable code used to indicate a diagnosis of binge eating disorder, extreme.

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. The extreme classification indicates that the individual experiences these episodes at a significantly higher frequency, typically defined as occurring at least once a week for three months or more. Unlike bulimia nervosa, individuals with BED do not engage in regular compensatory behaviors such as purging, fasting, or excessive exercise. This disorder can lead to obesity, diabetes, hypertension, and other health complications due to the associated overeating. Psychological factors such as depression, anxiety, and low self-esteem often co-occur, complicating the clinical picture. Treatment typically involves psychotherapy, nutritional counseling, and sometimes pharmacotherapy. Accurate coding is crucial for appropriate treatment planning and insurance reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between binge eating disorder and other eating disorders.
  • Understanding the severity classification (mild, moderate, extreme).
  • Documenting the frequency and duration of binge episodes.
  • Co-occurring mental health conditions that may complicate diagnosis.

Audit Risk Factors

  • Inadequate documentation of binge episode frequency.
  • Failure to document co-occurring mental health conditions.
  • Misclassification of binge eating disorder severity.
  • Lack of treatment plan documentation.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, including psychological assessments and treatment plans.

Common Clinical Scenarios

Patients presenting with depressive symptoms alongside binge eating episodes.

Billing Considerations

Consideration of comorbid psychiatric disorders and their impact on treatment.

Nutrition

Documentation Requirements

Nutritional assessments and dietary history to evaluate eating patterns.

Common Clinical Scenarios

Patients seeking weight management and nutritional counseling due to binge eating.

Billing Considerations

Integration of psychological factors into dietary recommendations.

Coding Guidelines

Inclusion Criteria

Use F50.813 When
  • According to ICD
  • 10 guidelines, F50
  • 813 should be used when the binge eating episodes are frequent and severe, impacting the patient's health and functioning
  • Documentation must include the frequency of episodes and any associated psychological conditions

Exclusion Criteria

Do NOT use F50.813 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 patients with binge eating disorder seeking dietary counseling.

Documentation Requirements

Document the patient's eating patterns and goals.

Specialty Considerations

Nutrition specialists should assess psychological factors impacting eating behaviors.

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 capture the severity and frequency of the disorder, which is essential for treatment planning and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of binge eating disorder, improving the ability to capture the severity and frequency of the disorder, which is essential for treatment planning and reimbursement.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    National Eating Disorders Association

Coding & Billing References

  • •
    National Eating Disorders Association

Frequently Asked Questions

What distinguishes binge eating disorder from bulimia nervosa?

Binge eating disorder is characterized by episodes of binge eating without compensatory behaviors, while bulimia nervosa involves binge eating followed by purging or other compensatory actions.