Adult failure to thrive
ICD-10 R62.7 is a billable code used to indicate a diagnosis of adult failure to thrive.
Adult failure to thrive (AFTT) is a clinical syndrome characterized by significant weight loss, decreased appetite, poor nutritional intake, and functional decline in adults. It is often seen in elderly patients but can occur in younger adults due to various underlying conditions. Symptoms may include unintentional weight loss of more than 5% of body weight over 6-12 months, fatigue, weakness, and a decline in physical and cognitive function. Abnormal clinical findings may include low serum albumin levels, anemia, and electrolyte imbalances. AFTT is not a diagnosis in itself but rather a manifestation of underlying medical, psychological, or social issues that require comprehensive evaluation and management. Common causes include chronic diseases (e.g., cancer, heart failure), psychiatric disorders (e.g., depression, dementia), and social factors (e.g., isolation, financial constraints). The diagnostic approach typically involves a thorough history and physical examination, laboratory tests, and sometimes imaging studies to identify the underlying cause.
Detailed documentation of patient history, physical examination findings, and any diagnostic tests performed. Clear identification of underlying causes is essential.
Patients presenting with unexplained weight loss, fatigue, and functional decline, often requiring multidisciplinary evaluation.
Consideration of comorbidities and the patient's social situation is crucial for accurate coding.
Acute care documentation must include a thorough assessment of presenting symptoms, vital signs, and any immediate interventions.
Patients presenting with acute confusion, weakness, or falls, often requiring rapid assessment and stabilization.
Emergency settings may necessitate a focus on immediate medical needs rather than comprehensive evaluations.
Used for follow-up visits to assess AFTT and its underlying causes.
Documentation must include a review of symptoms, assessment of weight changes, and any interventions.
Internal medicine providers may need to coordinate care with nutritionists or mental health professionals.
Adult failure to thrive can be caused by a variety of factors, including chronic illnesses, psychiatric disorders, and social issues. A thorough evaluation is necessary to identify the specific underlying causes.
