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R68.12

Billable

Fussy infant (baby)

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

What This Code Means

An infant who is irritable, difficult to console, or fussy beyond what is considered normal infant behavior.

Coding Tips

  • •Document the specific behaviors observed and duration to justify this diagnosis
  • •Rule out and code any medical causes of fussiness (infection, reflux, allergies, pain)

Code Hierarchy

└R68Other general symptoms and signs└R68.1Nonspecific symptoms peculiar to infancy└R68.12Fussy infant (baby)
└R68.12Fussy infant (baby)

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