tci ED Coding & Reimbursement Alert - 2023 Issue Q2

Reader Questions: Terminology Smarts Vital to Accurate Eating Disorder Dx

Question: I’m seeing three different codes for binging and purging conditions in ICD-10. Which circumstances call for which code? Indiana Subscriber Answer: To answer this question, let’s first identify the three codes to which you’re referring: F50.2 (Bulimia nervosa) F50.81 (Binge eating disorder) F50.02 (Anorexia nervosa, binge eating/purging type) In lay terms, bulimia describes someone who binges on food then self-induces vomiting or misuses laxatives, diuretics, or enemas to quickly get rid of what they’ve eaten. The use of each of these codes will depend on the patient’s behaviors surrounding the...

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