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ICD-10 Guide
ICD-10 CodesR63.31

R63.31

Pediatric feeding disorder, acute

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

Code Description

ICD-10 R63.31 is a billable code used to indicate a diagnosis of pediatric feeding disorder, acute.

Key Diagnostic Point:

Pediatric feeding disorder, acute, is characterized by a significant disruption in a child's ability to consume adequate nutrition, leading to potential health risks. Symptoms may include refusal to eat, excessive food selectivity, and difficulty swallowing or chewing. These behaviors can result in weight loss, nutritional deficiencies, and growth delays. Acute feeding disorders often arise in response to a specific event, such as illness, hospitalization, or trauma, which can exacerbate pre-existing feeding issues or create new ones. Clinical findings may include abnormal growth parameters, such as low weight-for-age or height-for-age percentiles, and laboratory findings may reveal deficiencies in essential nutrients like iron or vitamin D. The acute nature of the disorder necessitates prompt evaluation and intervention to prevent long-term complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of symptoms that can overlap with other conditions
  • Need for comprehensive documentation of feeding behaviors
  • Potential for misdiagnosis with other feeding-related disorders
  • Variability in clinical presentation among different age groups

Audit Risk Factors

  • Inadequate documentation of acute symptoms
  • Failure to specify the duration of feeding issues
  • Lack of evidence for nutritional assessment
  • Misclassification of chronic feeding disorders as acute

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed history of feeding behaviors, nutritional assessments, and growth metrics.

Common Clinical Scenarios

Management of pediatric patients with acute feeding issues due to illness or hospitalization.

Billing Considerations

Consideration of underlying medical conditions that may contribute to feeding difficulties.

Emergency Medicine

Documentation Requirements

Immediate assessment of feeding behaviors, vital signs, and any acute distress related to feeding.

Common Clinical Scenarios

Presentation of a child with acute refusal to eat following a traumatic event or illness.

Billing Considerations

Rapid evaluation of hydration status and nutritional needs in acute settings.

Coding Guidelines

Inclusion Criteria

Use R63.31 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the acute nature of the feeding disorder is clearly documented and supported by clinical findings

Exclusion Criteria

Do NOT use R63.31 When
No specific exclusions found.

Related CPT Codes

97802CPT Code

Medical nutrition therapy, individual

Clinical Scenario

Used for nutritional counseling in children with feeding disorders.

Documentation Requirements

Document the assessment of dietary habits and nutritional needs.

Specialty Considerations

Nutritionists and dietitians should collaborate with pediatricians for comprehensive care.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of pediatric feeding disorders, improving the ability to track and manage these conditions effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of pediatric feeding disorders, improving the ability to track and manage these conditions effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of pediatric feeding disorders, improving the ability to track and manage these 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 are the key symptoms of pediatric feeding disorder, acute?

Key symptoms include refusal to eat, excessive food selectivity, difficulty swallowing, and associated weight loss or nutritional deficiencies.