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v1.0.0
ICD-10 Guide
ICD-10 CodesR29.890

R29.890

Loss of height

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R29.890 is a billable code used to indicate a diagnosis of loss of height.

Key Diagnostic Point:

Loss of height is a clinical sign that may indicate underlying health issues, particularly in older adults. It can result from various factors, including osteoporosis, vertebral compression fractures, degenerative disc disease, or other musculoskeletal disorders. Height loss can also be associated with systemic conditions such as malignancies or chronic diseases that affect bone density and structure. Clinically, loss of height is often assessed through physical examination and comparison of previous height measurements. It may also be evaluated through imaging studies like X-rays or MRIs to identify structural changes in the spine. The significance of height loss lies in its potential to indicate fragility and increased risk of falls, fractures, and other complications. Accurate documentation of the patient's height history, physical examination findings, and any relevant imaging results is essential for proper coding and management of the underlying causes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of height loss over time
  • Need for correlation with other clinical findings
  • Potential overlap with other musculoskeletal codes
  • Differentiation from other causes of height changes

Audit Risk Factors

  • Inadequate documentation of height measurements
  • Failure to link height loss to a specific diagnosis
  • Misinterpretation of height loss as a standalone condition
  • Lack of follow-up on underlying causes

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Documenting patient history, physical examination findings, and any imaging studies related to height loss.

Common Clinical Scenarios

Patients presenting with gradual height loss, often in the context of aging or chronic disease.

Billing Considerations

Consideration of comorbidities that may contribute to height loss, such as osteoporosis or malignancies.

Emergency Medicine

Documentation Requirements

Acute care documentation should include height loss assessment in trauma or fall patients.

Common Clinical Scenarios

Patients presenting after a fall with suspected vertebral fractures.

Billing Considerations

Rapid assessment of height loss in the context of acute injuries and potential complications.

Coding Guidelines

Inclusion Criteria

Use R29.890 When
  • Follow official ICD
  • 10 guidelines for coding symptoms and signs, ensuring that R29
  • 890 is used when height loss is not classified elsewhere
  • Document the clinical context and any related findings

Exclusion Criteria

Do NOT use R29.890 When
No specific exclusions found.

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used when evaluating a patient with height loss during a routine visit.

Documentation Requirements

Document height measurements, history, and any relevant physical exam findings.

Specialty Considerations

Internal medicine providers should ensure comprehensive assessments are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of symptoms like height loss, improving the ability to track and manage related conditions effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of symptoms like height loss, improving the ability to track and manage related conditions effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of symptoms like height loss, improving the ability to track and manage related conditions effectively.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What should be documented to support the use of R29.890?

Document the patient's height history, any measurements taken, physical examination findings, and any imaging studies that may indicate the cause of height loss.