F50.024

HCC Category Mapping

What This Code Means

A severe eating disorder involving restrictive eating with binge eating and purging that is currently in remission or recovery.

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