F50.024
BillableAnorexia nervosa, binge eating/purging type, in remission
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is F50.024 an HCC code?
Yes. F50.024 maps to Personality Disorders and Dissociative Disorders under the CMS-HCC V28 risk adjustment model.
HCC Category Mapping
RAF weights shown are the community, non-dual, aged base weights from the CMS risk adjustment model file. Actual per-patient RAF contribution depends on member segment, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains in use during the transition and for historical data.
MEAT Criteria for F50.024
For F50.024 to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically — it has to be re-documented and supported each calendar year.
- MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
- EEvaluate: test results, medication response, or physical findings reviewed by the provider
- AAssess: explicit mention in the assessment or plan with acknowledgment of status
- TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis
Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed F50.024 during that encounter — not just copy-forwarded from a problem list.
What This Code Means
F50.024 is the ICD-10-CM diagnosis code for anorexia nervosa, binge eating/purging type, in remission. A severe eating disorder involving restrictive eating with binge eating and purging that is currently in remission or recovery. F50.024 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering behavioral syndromes associated with physiological disturbances and physical factors (f50-f59).
Under the CMS-HCC V28 risk adjustment model, F50.024 maps to Personality Disorders and Dissociative Disorders (HCC 153) with a community, non-dual, aged base RAF weight of 1.241. F50.024 was not retained as a payment HCC under the older V24 model, so V28 introduced or recategorized it during the 2024–2026 phase-in. V28 is the CMS-HCC risk adjustment model that reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition.
Use this code only when documentation explicitly states the condition is in remission or recovery. Because F50.024 maps to a payment HCC, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's Medicare Advantage risk adjustment score. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F50.024 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code only when documentation explicitly states the condition is in remission or recovery
- •Remission status should be clearly documented by the treating provider
Clinical Significance
Anorexia nervosa, binge eating/purging type involves episodes of binge eating and/or purging (self-induced vomiting, laxative/diuretic misuse) in a patient who meets low-weight criteria for anorexia nervosa. In remission indicates prior full criteria were met but the patient has achieved sustained weight restoration and cessation of binge/purge behaviors. This subtype carries additional risks of electrolyte imbalances, esophageal tears, and dental erosion compared to the restricting type.
Documentation Requirements
- ✓Documentation of binge eating episodes and/or purging behaviors (vomiting, laxatives, diuretics) in the context of low body weight
- ✓Current BMI or weight documenting severity (Weight restored, cessation of binge/purge behaviors)
- ✓Distinction from bulimia nervosa (patient must meet low-weight criteria for anorexia nervosa)
- ✓Frequency of binge/purge episodes
- ✓Medical monitoring for purging complications (electrolytes, dental health, esophageal integrity, cardiac status)