F50.82
BillableAvoidant/restrictive food intake disorder
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is F50.82 an HCC code?
No. F50.82 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.
MEAT Criteria for F50.82
For F50.82to 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 F50.82 during that encounter — not just copy-forwarded from a problem list.
What This Code Means
F50.82 is the ICD-10-CM diagnosis code for avoidant/restrictive food intake disorder. This condition involves a persistent pattern of avoiding or restricting certain foods, leading to inadequate nutrition and weight loss, but without the body image concerns seen in other eating disorders. It often develops in childhood and can result in significant nutritional deficiencies and developmental problems. F50.82 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).
F50.82 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.
F50.82 maps only to RxHCC 133 with a RAF weight of 0.000. No V28, V24, or ESRD HCC mapping exists. While ARFID itself carries no direct risk adjustment value, associated malnutrition conditions (E40-E46) may carry their own HCC mappings. Coders reviewing F50.82 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-leverage RAF improvement available within accurate coding.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F50.82 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Document the specific foods or food types being avoided/restricted and any associated symptoms (gagging, choking fear, sensory sensitivities) to support medical necessity
- •Ensure documentation distinguishes this from anorexia nervosa (F50.01) or bulimia nervosa (F50.2), as ARFID lacks the distorted body image component central to those diagnoses
Clinical Significance
Avoidant/restrictive food intake disorder (ARFID) involves food avoidance or restriction leading to nutritional deficiency, weight loss, dependence on supplements, or psychosocial impairment, WITHOUT body image disturbance or fear of weight gain. This distinguishes it from anorexia nervosa. ARFID is increasingly recognized in both children and adults and can lead to significant medical complications from malnutrition.
Documentation Requirements
- ✓Documentation of food avoidance or restriction NOT motivated by body image concerns or fear of weight gain
- ✓Evidence of one or more: significant weight loss/failure to gain, nutritional deficiency, dependence on enteral feeding or supplements, marked psychosocial impairment
- ✓Disturbance not explained by lack of food availability or cultural practice
- ✓Not occurring exclusively during anorexia nervosa or bulimia nervosa
- ✓Specific nature of the food avoidance (sensory-based, fear of aversive consequences, lack of interest in eating)
Commonly Confused Codes
- •F50.01x (Anorexia nervosa, restricting type) — anorexia nervosa involves body image disturbance and fear of weight gain; ARFID does not
- •F50.9 (Eating disorder, unspecified) — use F50.82 when ARFID criteria are documented
- •R63.0 (Anorexia) — medical loss of appetite, not a behavioral eating disorder
- •R63.3 (Feeding difficulties) — nonspecific feeding problem code, not the same as ARFID diagnosis
- •F98.29 (Other feeding disorder of infancy and early childhood) — use for feeding disorders in young children that predate ARFID diagnostic criteria