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R62.7

Billable

Adult failure to thrive

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

What This Code Means

A condition where an adult fails to grow, develop, or maintain proper physical and mental functioning, often due to malnutrition, medical illness, or psychosocial factors.

Coding Tips

  • Document the underlying cause (malnutrition, chronic disease, neglect) when possible for more specific coding
  • Distinguish from failure to thrive in children (R62.51) which uses a different code

Code Hierarchy

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