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F50.024 ICD-10-CM Code: Anorexia nervosa, binge eating/purging type, in remission

F50.024 maps to CMS-HCC V28 153. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · HCC coding software

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Code lookupF50.024

FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Behavioral syndromes associated with physiological disturbances and physical factors (F50-F59)

F50.024

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

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.

Buddy the Bee presenting code insight

Buddy Insight

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.

CMS-HCC V28

HCC 153

Code-level coefficient reference

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

HCC 133

Code-level coefficient reference

Inclusion Terms

Official
  • Anorexia nervosa, binge eating/purging type, in full remission
  • Anorexia nervosa, binge eating/purging type, in partial remission

Excludes 2

Official
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)Inherited from F01-F99, F50
  • feeding difficulties (R63.3-)Inherited from F01-F99, F50
  • feeding disorder in infancy or childhood (F98.2-)Inherited from F01-F99, F50

Includes

Official
  • disorders of psychological developmentInherited from F01-F99

Excludes 1

Official
  • anorexia NOS (R63.0)Inherited from F50, F50.0, F50.02
  • feeding problems of newborn (P92.-)Inherited from F50, F50.0, F50.02
  • polyphagia (R63.2)Inherited from F50, F50.0, F50.02
  • loss of appetite (R63.0)Inherited from F50, F50.0, F50.02
  • psychogenic loss of appetite (F50.89)Inherited from F50, F50.0, F50.02
  • bulimia nervosa (F50.2-)Inherited from F50, F50.0, F50.02

Code First

Official

No Code First sequencing instructions are included in this display for F50.024. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for F50.024. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for F50.024. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
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

MEAT Support

HCC Buddy guidance
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

Audit Caution

HCC Buddy guidance
Confusing with bulimia nervosa — the KEY distinction is that anorexia nervosa binge/purge type patients are significantly underweight
Coding 'in remission' without documentation of sustained cessation of binge/purge behaviors AND weight restoration
Failing to code medical complications of purging (hypokalemia, metabolic alkalosis, dental erosion, Mallory-Weiss tear) as additional diagnoses
Missing the binge/purge behaviors in documentation and incorrectly coding as restricting type

Common Mistakes

HCC Buddy guidance
F50.01x (Anorexia nervosa, restricting type) — NO binge/purge behaviors present in restricting type
F50.2x (Bulimia nervosa) — patient is at NORMAL or above-normal weight, unlike anorexia nervosa binge/purge type
F50.81x (Binge eating disorder) — no compensatory purging behaviors and typically overweight/obese
F50.00 (Anorexia nervosa, unspecified) — use the specific type code when binge/purge behaviors are documented

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is F50.024 an HCC code?

Yes. F50.024 (Anorexia nervosa, binge eating/purging type, in remission) maps to HCC 153, Personality Disorders; Anorexia/Bulimia Nervosa under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.396. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.

Coder answer: F50.024 is billable and maps to V28 HCC 153, Personality Disorders; Anorexia/Bulimia Nervosa. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code
F50.024
Description
Anorexia nervosa, binge eating/purging type, in remission
HCC (V28)
HCC 153 — Personality Disorders; Anorexia/Bulimia Nervosa
RAF reference coefficient
0.396
Billable
Yes
Payment year
2026

HCC Category Mapping

V28HCC 153, Personality Disorders; Anorexia/Bulimia Nervosa
0.396
RxHCCHCC 133, Anxiety and Other Psychiatric Disorders
Not separately weighted

These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.

Work F50.024 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for F50.024

For F50.024, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

  • 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

Coder workflow notes

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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; Anorexia/Bulimia Nervosa (HCC 153) with a source-labeled community, non-dual, aged reference coefficient of 0.396. No V24 mapping is shown for F50.024; use the applicable model and payment year when reviewing the V28 mapping. For CY2026 non-PACE Medicare Advantage, CMS uses 100% of the 2024 CMS-HCC model (V28). PACE uses a separate model blend. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.

Use this code only when documentation explicitly states the condition is in remission or recovery. For F50.024, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule. 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, source-labeled coefficient references, 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)

Commonly Confused Codes

  • F50.01x (Anorexia nervosa, restricting type): NO binge/purge behaviors present in restricting type
  • F50.2x (Bulimia nervosa): patient is at NORMAL or above-normal weight, unlike anorexia nervosa binge/purge type
  • F50.81x (Binge eating disorder): no compensatory purging behaviors and typically overweight/obese
  • F50.00 (Anorexia nervosa, unspecified): use the specific type code when binge/purge behaviors are documented
  • E87.6 (Hypokalemia): common complication to code separately

Child Codes

Code Hierarchy

F50.024 code history

Code setChange
FY2025 (effective Oct 1, 2024)Added to the code set

Source: official CMS ICD-10-CM order and addenda files, FY2016 through FY2027.

For F50.024, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

F50.024 maps to CMS-HCC V28 category 153, Personality Disorders; Anorexia/Bulimia Nervosa. See the ICD-10 to HCC mapping hub for how the V28 crosswalk works. The mapping identifies a payment HCC category for F50.024. Review its source-labeled HCC coefficient above, check the RAF Calculator with complete member context for CMS-HCC V28 PY2026, and confirm the documentation the chart needs before the code is submitted. HCC Buddy shows no RAF score unless every required source and calculation check passes.

Work F50.024 in HCC Buddy

Open F50.024 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 7 days to try everything, no card required.