F50.812 ICD-10-CM Code: Binge eating disorder, severe
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FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Behavioral syndromes associated with physiological disturbances and physical factors (F50-F59)
F50.812
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceBinge eating disorder, severe
A severe eating disorder where a person regularly eats large amounts of food in short periods and feels a loss of control, but does not engage in purging behaviors.
Buddy Insight
Binge eating disorder involves recurrent episodes of eating significantly more food than most people would in a similar period with a sense of loss of control, WITHOUT the compensatory purging behaviors seen in bulimia nervosa.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
MappedHCC 133
RAF 0.0
Code Trumping
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Code Book Path
Inclusion Terms
Official- Binge eating disorder with 8-13 binge eating episodes per week
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for F50.812 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for F50.812 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for F50.812 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for F50.812 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for F50.812 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for F50.812 in this effective period.
Buddy Documentation Tip
MEAT Support
Audit Caution
Common Mistakes
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is F50.812 an HCC code?
No. F50.812 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
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.
Work F50.812 in the Code Book — tabular path, V28 RAF, and MEAT checklist →
MEAT Criteria for F50.812
For F50.812to 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 F50.812 during that encounter, not just copy-forwarded from a problem list.
Coder workflow notes
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What This Code Means
F50.812 is the ICD-10-CM diagnosis code for binge eating disorder, severe. A severe eating disorder where a person regularly eats large amounts of food in short periods and feels a loss of control, but does not engage in purging behaviors. F50.812 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).
F50.812 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
This code does not map to a CMS-HCC V28 payment category. Capture depends on documentation that supports the diagnosis; verify the HCC assignment against the current CMS mapping for the applicable payment year. Coders reviewing F50.812 should check whether additional documentation would support a more specific child code in the same hierarchy that does map to a payment HCC, capturing the correct specificity is the highest-impact RAF improvement available within accurate coding.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F50.812 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This code indicates severe severity - look for significant medical complications or marked functional impairment
- •Document frequency and duration of binge episodes in the clinical record
Clinical Significance
Binge eating disorder involves recurrent episodes of eating significantly more food than most people would in a similar period with a sense of loss of control, WITHOUT the compensatory purging behaviors seen in bulimia nervosa. This is the most common eating disorder in the United States and is strongly associated with obesity, metabolic syndrome, and type 2 diabetes. Severity is based on binge frequency: 8-13 binge eating episodes per week.
Documentation Requirements
- ✓Recurrent episodes of binge eating with objectively large food quantities and loss of control
- ✓Documentation of binge eating frequency (8-13 binge eating episodes per week) to support severity level
- ✓At least three of: eating rapidly, eating until uncomfortably full, eating large amounts when not hungry, eating alone due to embarrassment, feeling disgusted/depressed/guilty afterward
- ✓Marked distress regarding binge eating
- ✓Binge eating occurs at least once per week for three months WITHOUT regular compensatory behaviors
Commonly Confused Codes
- •F50.2x (Bulimia nervosa): bulimia includes compensatory purging behaviors; binge eating disorder does NOT
- •F50.9 (Eating disorder, unspecified): use specific binge eating disorder code when criteria are met
- •E66.01 (Morbid obesity due to excess calories): obesity is a consequence, not the eating disorder itself; code both when applicable
- •F50.89 (Other specified eating disorder): use for subthreshold binge eating disorder that does not meet full criteria
- •R63.2 (Polyphagia): symptom of excessive appetite, not the same as binge eating disorder