F50.813
BillableBinge eating disorder, extreme
HCC Category Mapping
RxHCCHCC 133 — Personality Disorders, Anxiety, and Other Specified Mental Disorders
0.000What This Code Means
A severe form of binge eating disorder where a person regularly consumes large amounts of food in short periods and experiences extreme distress about their eating behavior.
Coding Tips
- •Use this code only when documentation explicitly indicates 'extreme' severity; review clinical notes for frequency and intensity of binge episodes
- •Ensure this is not being used interchangeably with other binge eating codes; severity level must be clearly documented
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: 14 or more 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 (14 or more 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 NOTF50.9 (Eating disorder, unspecified) — use specific binge eating disorder code when criteria are metE66.01 (Morbid obesity due to excess calories) — obesity is a consequence, not the eating disorder itself; code both when applicableF50.89 (Other specified eating disorder) — use for subthreshold binge eating disorder that does not meet full criteriaR63.2 (Polyphagia) — symptom of excessive appetite, not the same as binge eating disorder
Code Hierarchy
└F50Eating disorders└F50.8Other eating disorders└F50.81Binge eating disorder└F50.813Binge eating disorder, extreme
└F50.813Binge eating disorder, extreme