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F50.012

Billable

Anorexia nervosa, restricting type, severe

HCC Category Mapping

V28HCC 153Personality Disorders and Dissociative Disorders
1.241
RxHCCHCC 133Personality Disorders, Anxiety, and Other Specified Mental Disorders
0.000

What This Code Means

Anorexia nervosa using restriction as the primary control method, at severe level with significant functional impairment and notable medical complications.

Coding Tips

  • Severe severity indicates substantial functional impairment and significant medical complications that may require hospitalization
  • Coordinate with clinical team to document specific complications and functional limitations supporting severe designation

Clinical Significance

Anorexia nervosa, restricting type involves weight loss achieved primarily through dieting, fasting, or excessive exercise without binge eating or purging behaviors. Severe restricting type carries high medical risk with BMI between 15 and 15.99 kg/m2, often requiring inpatient or residential treatment. This subtype carries significant risk for malnutrition, cardiac arrhythmias, and osteoporosis.

Documentation Requirements

  • Documentation of restricting behaviors (dieting, fasting, excessive exercise) WITHOUT binge eating or purging
  • Current BMI or weight documenting severity level (BMI 15.00-15.99 kg/m2)
  • Distorted body image or intense fear of weight gain
  • Duration and course of illness
  • Medical monitoring results (vital signs, electrolytes, cardiac evaluation)

Commonly Confused Codes

Code Hierarchy

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