R63.8 - Other symptoms and signs concerning food and fluid intake
ICD-10: | R63.8 |
Short Description: | Other symptoms and signs concerning food and fluid intake |
Long Description: | Other symptoms and signs concerning food and fluid intake |
Status: | Valid for Submission |
Version: | ICD-10-CM 2023 |
Code Classification: |
R63.8 is a billable ICD-10 code used to specify a medical diagnosis of other symptoms and signs concerning food and fluid intake. The code is valid during the fiscal year 2023 from October 01, 2022 through September 30, 2023 for the submission of HIPAA-covered transactions.
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:
- Abnormal eating pattern
- Abnormal food appetite
- Adipsia
- Alteration in nutrition
- Alteration in nutrition
- Alteration in nutrition
- Alteration in nutrition: less than body requirements
- Alteration in nutrition: less than body requirements
- Alteration in nutrition: less than body requirements
- Alteration in nutrition: more than body requirements
- Alteration in nutrition: potential for more than body requirements
- Altered appetite
- Always eating
- Always hungry
- Appetite problem
- Appetite symptom
- At risk for imbalanced nutrition, less than body requirements
- At risk for nutritional problem
- At risk for nutritional problem
- Aversion to food or drink
- Aversion to particular drink
- Aversion to particular food
- Cannot face food
- Carbohydrate craving
- Chaotic eating
- Chewing finding
- Comfort eating
- Craving for food or drink
- Craving for particular drink
- Craving for particular food
- Dependent for drinking
- Diet followed - finding
- Difficulty drinking
- Difficulty drinking from feeder cup
- Difficulty drinking using a straw
- Difficulty holding drinks
- Difficulty sipping drink
- Difficulty spitting
- Difficulty taking drink to mouth
- Does not chew
- Does not drink
- Does not drink from a bottle
- Does not drink from feeder cup
- Does not drink using a straw
- Does not eat
- Does not eat certain food
- Does not hold drinks
- Does not move food in mouth
- Does not retrieve food from buccal sulcus
- Does not sip drink
- Does not spit
- Does not take drink to mouth
- Drink intake - finding
- Eating frequently
- Eating problem
- Eats irregularly
- Excessive beta glucan intake
- Excessive bioactive substance intake
- Excessive bioactive substance intake
- Excessive bioactive substance intake
- Excessive caffeine intake
- Excessive chloride salt intake
- Excessive coffee drinker
- Excessive fluid intake
- Excessive intake of high intensity sweetener additive
- Excessive non-nutritive food additive intake
- Excessive sulfate salt intake
- Failure to lose weight
- Fasting
- Finding of feeding pattern
- Finding of frequency of eating
- Finding of pattern of fluid intake
- Finding of pattern of fluid intake
- Finding of pattern of fluid intake
- Finding of pattern of fluid intake
- Finding of quantity of appetite
- Finding of quantity of appetite
- Finding of quantity of eating
- Finding of regularity of eating
- Finding related to ability to chew
- Finding related to ability to drink from bottle
- Finding related to ability to drink from bottle
- Finding related to ability to drink from feeder cup
- Finding related to ability to drink from feeder cup
- Finding related to ability to drink from feeder cup
- Finding related to ability to drink using straw
- Finding related to ability to drink using straw
- Finding related to ability to drink using straw
- Finding related to ability to eat certain food
- Finding related to ability to eat certain food
- Finding related to ability to hold drinks
- Finding related to ability to hold drinks
- Finding related to ability to hold drinks
- Finding related to ability to retrieve food from buccal sulcus
- Finding related to ability to sip drink
- Finding related to ability to sip drink
- Finding related to ability to sip drink
- Finding related to ability to spit
- Finding related to ability to spit
- Finding related to ability to spit
- Finding related to ability to take drink to mouth
- Finding related to ability to take drink to mouth
- Finding related to ability to take drink to mouth
- Hungry
- Hypometabolism
- Improper feeding schedule for age
- Inadequate chloride salt intake
- Inadequate food diet
- Inadequate food diet
- Inadequate oral food intake for physiological needs
- Inadequate sulfate salt intake
- Increased appetite
- Increased fluid intake
- Insufficient fluid intake - finding
- Insufficient intake of food and water with self neglect
- Intake of unsafe food
- Intentional weight loss
- Limited food acceptance
- Little thirst
- Morbid hunger
- Never thirsty
- Not taking fluids
- Not tolerating normal diet
- Not tolerating oral fluid
- Nutritional deficiency state
- Nutritional deficiency state
- Nutritional deficiency state
- On special diet
- Poor response to enteral nutrition
- Predicted excessive energy intake
- Predicted inadequate energy intake
- Preoccupation with food
- Problem with drinking fluid
- Reduced fluid intake
- Reduced fluid intake pre-bedtime
- Reduced thirst
- Refusal to eat in presence of others
- Refusing fluids
- Refusing food
- Refusing food
- Refusing food
- Refusing food
- Refusing lumpy foods
- Refusing solids
- Self-neglect
- Thirst finding
- Thirst finding
- Thirst finding
- Thirst finding
- Unable to drink
- Unable to drink from a bottle
- Unable to drink from a feeder cup
- Unable to drink using a straw
- Unable to eat
- Unable to eat certain food
- Unable to hold drinks
- Unable to sip drink
- Unable to spit
- Unable to take drink to mouth
Clinical Information
- Fasting-. abstaining from food.
- Hypoglycemia-. a syndrome of abnormally low blood glucose level. clinical hypoglycemia has diverse etiologies. severe hypoglycemia eventually lead to glucose deprivation of the central nervous system resulting in hunger; sweating; paresthesia; impaired mental function; seizures; coma; and even death.
- Food-. substances taken in by the body to provide nourishment.
Index to Diseases and Injuries References
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for this diagnosis code are found in the injuries and diseases index:
- - Hypometabolism - R63.8
- - Increase, increased
- - abnormal, in development - R63.8
- - Symptoms NEC - R68.89
- - development NEC - R63.8
- - involving
- - food and fluid intake - R63.8
- - metabolism NEC - R63.8
Convert to ICD-9 Code
Source ICD-10 Code | Target ICD-9 Code | |
---|---|---|
R63.8 | 783.9 - Nutr/metab/devel sym NEC | |
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code. |
Patient Education
Eating Disorders
What are eating disorders?
Eating disorders are serious mental health disorders. They involve severe problems with your thoughts about food and your eating behaviors. You may eat much less or much more than you need.
Eating disorders are medical conditions; they are not a lifestyle choice. They affect your body's ability to get proper nutrition. This can lead to health issues, such as heart and kidney problems, or sometimes even death. But there are treatments that can help.
What are the types of eating disorders?
Common types of eating disorders include:
- Binge-eating, which is out-of-control eating. People with binge-eating disorder keep eating even after they are full. They often eat until they feel very uncomfortable. Afterward, they usually have feelings of guilt, shame, and distress. Eating too much too often can lead to weight gain and obesity. Binge-eating disorder is the most common eating disorder in the U.S.
- Bulimia nervosa. People with bulimia nervosa also have periods of binge-eating. But afterwards, they purge, by making themselves throw up or using laxatives. They may also over-exercise or fast. People with bulimia nervosa may be slightly underweight, normal weight, or overweight.
- Anorexia nervosa. People with anorexia nervosa avoid food, severely restrict food, or eat very small quantities of only certain foods. They may see themselves as overweight, even when they are dangerously underweight. Anorexia nervosa is the least common of the three eating disorders, but it is often the most serious. It has the highest death rate of any mental disorder.
What causes eating disorders?
The exact cause of eating disorders is unknown. Researchers believe that eating disorders are caused by a complex interaction of factors. These include genetic, biological, behavioral, psychological, and social factors.
Who is at risk for eating disorders?
Anyone can develop an eating disorder, but they are more common in women. Eating disorders frequently appear during the teen years or young adulthood. But people can also develop them during childhood or later in life.
What are the symptoms of eating disorders?
The symptoms of eating disorders vary, depending on the disorder:
The symptoms of binge-eating include:
- Eating unusually large amounts of food in a specific amount of time, such as a 2-hour period
- Eating even when you're full or not hungry
- Eating fast during binge episodes
- Eating until you're uncomfortably full
- Eating alone or in secret to avoid embarrassment
- Feeling distressed, ashamed, or guilty about your eating
- Frequently dieting, possibly without weight loss
The symptoms of bulimia nervosa include the same symptoms as binge-eating, plus trying to get rid of the food or weight after binging by:
- Purging, making yourself throw up or using laxatives or enemas to speed up the movement of food through your body
- Doing intensive and excessive exercise
- Fasting
Over time, bulimia nervosa can cause health problems such as:
- Chronically inflamed and sore throat
- Swollen salivary glands in the neck and jaw area
- Worn tooth enamel and increasingly sensitive and decaying teeth. This is caused by the exposure to stomach acid every time you throw up.
- GERD (acid reflux) and other gastrointestinal problems
- Severe dehydration from purging
- Electrolyte imbalance, which could be too low or too high levels of sodium, calcium, potassium and other minerals. This can lead to a stroke or heart attack.
The symptoms of anorexia nervosa include:
- Eating very little, to the point of starving yourself
- Intensive and excessive exercise
- Extreme thinness
- Intense fear of gaining weight
- Distorted body image - seeing yourself as overweight even when you are severely underweight
Over time, anorexia nervosa can cause health problems such as:
- Thinning of the bones (osteopenia or osteoporosis)
- Mild anemia
- Muscle wasting and weakness
- Thin, brittle hair and nails
- Dry, blotchy, or yellowish skin
- Growth of fine hair all over the body
- Severe constipation
- Low blood pressure
- Slowed breathing and pulse
- Feeling cold all the time because of a drop in internal body temperature
- Feeling faint, dizzy, or weak
- Feeling tired all the time
- Infertility
- Damage to the structure and function of the heart
- Brain damage
- Multiorgan failure
Anorexia nervosa can be fatal. Some people with this disorder die of complications from starvation, and others die of suicide.
Some people with eating disorders may also have other mental disorders (such as depression or anxiety) or problems with substance use.
How is eating disorders diagnosed?
Because eating disorders can be so serious, it is important to seek help if you or a loved one thinks that you might have a problem. Your health care provider may use many tools to make a diagnosis:
- A medical history, which includes asking about your symptoms. It is important to be honest about your eating and exercise behaviors so your provider can help you.
- A physical exam
- Blood or urine tests to rule out other possible causes of your symptoms
- Other tests to see whether you have any other health problems caused by the eating disorder. These can include kidney function tests and an electrocardiogram (EKG or ECG).
What are the treatments for eating disorders?
Treatment plans for eating disorders are tailored to individual needs. You will likely have a team of providers helping you, including doctors, nutritionists, nurses, and therapists. The treatments may include:
- Individual, group, and/or family psychotherapy. Individual therapy may include cognitive behavioral approaches, which help you to identify and change negative and unhelpful thoughts. It also helps you build coping skills and change behavioral patterns.
- Medical care and monitoring, including care for the complications that eating disorders can cause
- Nutrition counseling. Doctors, nurses, and counselors will help you eat healthy to reach and maintain a healthy weight.
- Medicines, such as antidepressants, antipsychotics, or mood stabilizers, may help treat some eating disorders. The medicines can also help with the depression and anxiety symptoms that often go along with eating disorders.
Some people with serious eating disorders may need to be in a hospital or in a residential treatment program. Residential treatment programs combine housing and treatment services.
NIH: National Institute of Mental Health
[Learn More in MedlinePlus]
Nutrition
Food provides the energy and nutrients you need to be healthy. Nutrients include proteins, carbohydrates, fats, vitamins, minerals, and water.
Healthy eating is not hard. The key is to:
- Eat a variety of foods, including vegetables, fruits, and whole-grain products
- Eat lean meats, poultry, fish, beans, and low-fat dairy products
- Drink lots of water
- Limit salt, sugar, alcohol, saturated fat, and trans fat in your diet
Saturated fats are usually fats that come from animals. Look for trans fat on the labels of processed foods, margarines, and shortenings.
Centers for Disease Control and Prevention
[Learn More in MedlinePlus]
Code History
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)