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P92.6

Billable

Failure to thrive in newborn

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A newborn is not gaining weight appropriately or is losing weight due to inadequate nutrition, feeding problems, or other metabolic issues.

Coding Tips

  • Document birth weight, current weight, and weight loss percentage to establish failure to thrive
  • Investigate underlying causes (feeding difficulties, malabsorption, infection) and document interventions

Excludes 1 — Do NOT code together

  • failure to thrive in child over 28 days old (R62.51)

Code Hierarchy

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