Version 2024

No Valid Principal Dx

2024 ICD-10-CM Diagnosis Code R63.39

Other feeding difficulties

ICD-10-CM Code:: R63.39
ICD-10 Code for:: Other feeding difficulties
Is Billable?: Yes - Valid for Submission
Chronic Condition Indicator: ^[1]: Not chronic
Code Navigator:

Code Information
Approximate Synonyms
Clinical Classification
Clinical Information
Tabular List of Diseases and Injuries
Index to Diseases and Injuries References
Diagnostic Related Groups Mapping
Replacement Code
Patient Education
Other Codes Used Similar Conditions
Code History

Code Classification

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
(R00–R99)
- General symptoms and signs
  (R50-R69)
  - Symptoms and signs concerning food and fluid intake
    (R63)

R63.39 is a billable diagnosis code used to specify a medical diagnosis of other feeding difficulties. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Chewing finding
Chewing finding
Difficulty chewing
Difficulty clearing mouth of residue
Difficulty controlling bolus of food
Difficulty cutting up food
Difficulty drinking from a bottle
Difficulty feeding self with left hand
Difficulty feeding self with right hand
Difficulty finger feeding
Difficulty in retrieving food from buccal sulcus
Difficulty latching on to breast for feeding
Difficulty moving food in mouth
Difficulty moving food in mouth
Difficulty placing food in mouth
Difficulty projecting bolus of food into pharynx
Difficulty retaining food in mouth
Difficulty sucking
Difficulty suckling
Difficulty taking food to mouth
Difficulty using cutlery to feed self
Difficulty using feeding aid
Difficulty using fork to feed self
Difficulty using hands to feed self
Difficulty using knife and fork to feed self
Difficulty using spoon to feed self
Does not clear mouth of residue
Does not control bolus of food
Does not cut up food
Does not finger feed
Does not latch on to breast for feeding
Does not move food in mouth
Does not place food in mouth
Does not project bolus of food into pharynx
Does not retain food in mouth
Does not suck
Does not take food to mouth
Does not to suckle
Does not use cutlery to feed self
Does not use feeding aid
Does not use fork to feed self
Does not use hands to feed self
Does not use knife and fork to feed self
Does not use left hand to feed self
Does not use right hand to feed self
Does not use spoon to feed self
Elderly feeding problem
Feeding problem
Feeding problem due to illness
Feeding problem in adulthood
Feeding problem in child
Finding of infant feeding pattern
Finding of infant feeding pattern
Finding related to ability to chew
Finding related to ability to chew
Finding related to ability to clear mouth of residue
Finding related to ability to clear mouth of residue
Finding related to ability to clear mouth of residue
Finding related to ability to control bolus of food
Finding related to ability to control bolus of food
Finding related to ability to control bolus of food
Finding related to ability to cut up food
Finding related to ability to cut up food
Finding related to ability to cut up food
Finding related to ability to drink from bottle
Finding related to ability to feed self with left hand
Finding related to ability to feed self with left hand
Finding related to ability to feed self with left hand
Finding related to ability to feed self with right hand
Finding related to ability to feed self with right hand
Finding related to ability to feed self with right hand
Finding related to ability to finger feed
Finding related to ability to finger feed
Finding related to ability to finger feed
Finding related to ability to latch on to breast for feeding
Finding related to ability to latch on to breast for feeding
Finding related to ability to latch on to breast for feeding
Finding related to ability to place food in mouth
Finding related to ability to place food in mouth
Finding related to ability to place food in mouth
Finding related to ability to project bolus of food into pharynx
Finding related to ability to project bolus of food into pharynx
Finding related to ability to project bolus of food into pharynx
Finding related to ability to retain food in mouth
Finding related to ability to retain food in mouth
Finding related to ability to retain food in mouth
Finding related to ability to retrieve food from buccal sulcus
Finding related to ability to retrieve food from buccal sulcus
Finding related to ability to suck
Finding related to ability to suck
Finding related to ability to suck
Finding related to ability to suckle
Finding related to ability to suckle
Finding related to ability to suckle
Finding related to ability to take food to mouth
Finding related to ability to take food to mouth
Finding related to ability to take food to mouth
Finding related to ability to use feeding aid
Finding related to ability to use feeding aid
Finding related to ability to use feeding aid
Finding related to ability to use fork to feed self
Finding related to ability to use fork to feed self
Finding related to ability to use fork to feed self
Finding related to ability to use knife and fork to feed self
Finding related to ability to use knife and fork to feed self
Finding related to ability to use knife and fork to feed self
Finding related to ability to use spoon to feed self
Finding related to ability to use spoon to feed self
Finding related to ability to use spoon to feed self
Food fads
Infant feeding problem
Infant not tolerating feeds
Picky eater
Refusal of feeds in infant
Unable to chew
Unable to clear mouth of residue
Unable to control bolus of food
Unable to cut up food
Unable to feed self with left hand
Unable to feed self with right hand
Unable to finger feed
Unable to latch on to breast for feeding
Unable to move food in mouth
Unable to place food in mouth
Unable to project bolus of food into pharynx
Unable to retain food in mouth
Unable to retrieve food from buccal sulcus
Unable to suck
Unable to suckle
Unable to take food to mouth
Unable to use cutlery to feed self
Unable to use feeding aid
Unable to use fork to feed self
Unable to use hands to feed self
Unable to use knife and fork to feed self
Unable to use spoon to feed self

Clinical Classification

Clinical Category is Other general signs and symptoms
CCSR Category Code: SYM016
Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

Breast Feeding Problem
issues related to the ability to breastfeed.
Feeding Problem
interruption or disruption of the intake of food/nutrition.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.

Inclusion Terms

Feeding problem (elderly) (infant) NOS
Picky eater

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

- Aversion
- - oral - R63.39

- Difficult, difficulty (in)
- - feeding - R63.30
  - - elderly - R63.39
  - - infant NOS - R63.39
  - - specified NEC - R63.39

- Feeding
- - problem (elderly) (infant) - R63.39

- Problem (with) (related to)
- - feeding (elderly) (infant) NOS - R63.39

R63.39 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
640	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC	10	1.3152
641	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC	10	0.7814

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Replacement Code

R6339 replaces the following previously assigned ICD-10-CM code(s):

R63.3 - Feeding difficulties

Code History

FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - Code Added, effective from 10/1/2021 through 9/30/2022

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.