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F98.3

Billable

Pica of infancy and childhood

HCC Category Mapping

RxHCCHCC 133Personality Disorders, Anxiety, and Other Specified Mental Disorders
0.000

What This Code Means

A persistent eating disorder in children characterized by the consumption of non-food items such as dirt, paint, paper, or other non-nutritive substances.

Coding Tips

  • Confirm that pica is not secondary to nutritional deficiencies (iron, zinc) or other medical conditions before coding
  • Document the specific substances being consumed and the frequency and duration of the behavior

Clinical Significance

Pica of infancy and childhood is significant for risk adjustment as it signals underlying nutritional deficiencies, developmental disorders, or environmental neglect that drive healthcare utilization. Accurate capture ensures appropriate resource allocation for behavioral health interventions and monitoring for complications such as lead poisoning or intestinal obstruction.

Documentation Requirements

  • Specific non-food substances being consumed (dirt, paint, paper, etc.)
  • Duration and frequency of pica behavior
  • Age of onset and developmental context
  • Ruling out or documenting associated nutritional deficiencies (iron, zinc)
  • Assessment for co-occurring developmental or intellectual disabilities
  • Any complications from ingestion (lead levels, gastrointestinal issues)

Excludes 1 — Do NOT code together

Commonly Confused Codes

Code Hierarchy

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