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R62.51

Billable

Failure to thrive (child)

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

What This Code Means

A child is not gaining weight or growing at the expected rate, often due to inadequate nutrition or underlying medical conditions.

Coding Tips

  • Document the child's growth measurements (weight, height percentiles) and any feeding or nutritional issues
  • Investigate and code underlying causes such as malabsorption, inadequate caloric intake, or medical conditions affecting growth

Excludes 1 — Do NOT code together

  • failure to thrive in child under 28 days old (P92.6)

Code Hierarchy

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